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首页> 外文期刊>Acute Medicine & Surgery >Continuous veno‐venous hemodialysis and filtration for extensive burn with severe hypernatremia
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Continuous veno‐venous hemodialysis and filtration for extensive burn with severe hypernatremia

机译：连续静脉血液透析和过滤治疗严重烧伤严重的高钠血症

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Case A 51‐year‐old man presented with severe burns, with a burn index of 33.5. Relaxation incisions were made in the trunk and right arm. Ringer's solution (12,000?mL) was used as initial fluid therapy for the first 24?h. The patient's serum N a level gradually increased to 170?mEq/L; infusion was carried out to correct the hypernatremia. Continuous veno‐venous hemodialysis and filtration succeeded in maintaining the serum N a level at approximately 145?mEq/L. Outcome After the initiation of continuous veno‐venous hemodialysis and filtration, the skin graft survival rate improved markedly with the normalization of the N a level, and the patient recovered smoothly. He was discharged on foot. Conclusion Hypernatremia, frequently observed in patients with extensive burns, is considered to be markedly disadvantageous for the survival of skin grafts. Continuous veno‐venous hemodialysis and filtration may be one of the options for the treatment of refractory hypernatremia in severe burns.
机译：病例一名51岁的男子出现严重烧伤，烧伤指数为33.5。在躯干和右臂上做松弛切口。在最初的24小时内，使用林格氏液（12,000mL）作为初始液体疗法。患者的血清N a水平逐渐升高至170？mEq / L;进行输注以纠正高钠血症。连续静脉血液透析和过滤成功地将血清N a维持在约145？mEq / L。结果连续静脉静脉血液透析和过滤开始后，随着N a水平的正常化，皮肤移植物的存活率显着提高，患者得以顺利康复。他步行出院。结论高钠血症经常在大面积烧伤患者中观察到，被认为对移植皮肤的存活不利。连续静脉血液透析和滤过可能是严重烧伤中难治性高钠血症的治疗方法之一。

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