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Early continuous veno-venous haemofiltration in the management of severe acute pancreatitis complicated with intra-abdominal hypertension: retrospective review of 10 years experience

机译:重症急性胰腺炎并发腹内高压的早期连续静脉-静脉血液滤过:10年经验的回顾性回顾

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摘要

BackgroundConservative treatment of patients with severe acute pancreatitis (SAP) may be associated with development of intra-abdominal hypertension (IAH), deterioration of visceral perfusion and increased risk of multiple organ dysfunction. Fluid balance is essential for maintenance of adequate organ perfusion and control of the third space. Timely application of continuous veno-venous haemofiltration (CVVH) may help in balancing fluid replacement and removal of cytokines from the blood and tissue compartments. The aim of the present study was to determine whether CVVH can be recommended as a constituent of conservative treatment in patients with SAP who suffer IAH.
机译:背景严重急性胰腺炎(SAP)患者的保守治疗可能与腹腔内高压(IAH)的发展,内脏灌注的恶化以及多器官功能障碍的风险增加有关。流体平衡对于维持足够的器官灌注和控制第三空间至关重要。及时应用连续静脉-静脉血液滤过(CVVH)可能有助于平衡液体的置换和从血液和组织隔室中清除细胞因子。本研究的目的是确定在患有IAH的SAP患者中是否可以推荐CVVH作为保守治疗的组成部分。

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