Применение заместительной почечной терапии в комплексном лечении тяжелого острого панкреатита

The aim of the study to analyze retrospectively the efficiency of renal replacement therapy in treatment of severe acute pancreatitis complicated with systemic inflammation and multiorgan dysfunction. The results of treatment of 55 patients (14 F, 41 M) 22 to 72 years old (average 43,5 ± 16,4) treated in intensive care department of Moscow City Hospital No. 52 from 01.01.2000 to 31.12.2006 were analyzed. All patients had multiorgan dysfunction, with 2 to 5 organs (median 4 (3; 4)) involved and receiving renal replacement therapy. Renal replacement therapy can be successfully used in complex treatment of severe acute pancreatitis provided the dialysis dose of at least 35 ml/kg/h. Independent risk factors of lethality in these patients are - severity estimated according to APACHE II SAPS II scales, and dialysis dose of at least 35 ml/kg/h.

острый панкреатит, тяжелое течение, синдром системного воспаления, полиорганная недостаточность, применение почечно-заместительной терапии

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