ABSTRACT
Objective: To evaluate the effect and safety of continuous veno-venous hemofiltration(CVVH) in the treatment of multiple organ failure(MOF) in senile patients.Methods: Sixteen patients with multiple organ failure,aged over 80 years,were divided into a survival group,who lived more than 20 days,and a non-survival group,less than 20 days after CVVH,and observed for such clinical indexes as of renal function,K+and blood gas analysis,APACHEⅡ scores and complications.Results: After CVVH,eleven of the patients survived for over 20 days,with 1 case up to 3 years.CVVH effected a significant improvement in BUN,Scr,K+and blood gas as well as a marked reduction in complications.APACHE Ⅱ scores decreased significantly after CVVH in the survival group though not in the non-survival group,as compared with those before CVVH,which were significantly lower in the former than in the latter.Conclusion: CVVH is a safe,effective and well-tolerated method for the treatment of MOF in senile patients.Patients with higher APACHEⅡscores have a poor prognosis.
ABSTRACT
Objective:To observe the applications of damage control surgery(DCS) theory in selective abdominal operations.Methods:Two patients suffered from abdominal huge tumour were included in this clinical observation.DCS method was used in the first case when uncontrollable haemorrhage happened in the operation.In the second case,the DCS method was planed before operation.Results:Both the two patients were healed.The second one had no dangerous states after operation.Conclusion:In selective abdominal operation,perioperative DCS method should be considered if some life-threatening risks may happen in the operative procedure.
ABSTRACT
Objective:To study the therapeutic effects of Atorvastatin on hyperlipemia of the young patients by comparing their blood lipid levels before and after taking the medication. Methods:36 young patients ranged from 18 to 39 years old with hyperlipemia were given Atorvastatin with a dose of 10mg qd which lasted 8 weeks.Results:The levels of TC,LDLC and TG significantly decreased,while the HDL-C level had no obvious change.There were 1 case of temporary epigastric discomfort and 2 cases of slight AST increase.Conclusion:Atorvastatin can significantly and securely reduce the blood lipid level in young patients with hyperlipemia.