Robert R, Rouffineau J, Descoins P, Malin F, Antoun S, Carretier M
Service de Réanimation médicale, Hôpital Jean-Bernard, CHRU, Poitiers.
Presse Med. 1990 Oct 27;19(35):1615-8.
Twenty-nine patients with acute renal failure and multiple organ failure were treated with continuous arterio-venous or veno-venous haemofiltration for a period of 6 +/- 5 days. Sixteen of these patients were improved and haemofiltration was withdrawn, but secondary worsening occurred in 8 cases. The method is well tolerated by the cardiovascular system and provides a satisfactory metabolic control. The low patient's survival rate (27 percent) is due to the severity of the disease. In the absence of controlled studies, it is difficult to assert that continuous haemofiltration is better than conventional haemodialysis.
29例急性肾衰竭合并多器官功能衰竭患者接受了持续动静脉或静脉静脉血液滤过治疗，为期6±5天。其中16例患者病情改善，停止了血液滤过，但8例出现继发性恶化。该方法对心血管系统耐受性良好，并能提供令人满意的代谢控制。患者生存率低（27%）是由于疾病的严重性。在缺乏对照研究的情况下，很难断言持续血液滤过优于传统血液透析。
