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서민정 ( Seo Min-Jeong ) - 삼성서울병원
조용애 ( Cho Yong-Ae ) - 삼성서울병원
성영희 ( Sung Young-Hee ) - 삼성서울병원
최앵자 ( Choi Ang-Ja ) - 삼성서울병원
서지영 ( Suh Ji-Young ) - 삼성서울병원
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Abstract
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Purpose:The treatment effects and operation status of continuous renal replacement therapy (CRRT) for acute renal failure patients have been investigated.
Method: Two expert nurses reviewed the records of 731 patients undergoing CRRT in an intensive care unit of a general hospital from Jan. 2002 to Dec. 2006 with the CRRT assessment sheet and situation sheet developed for this study.
Results: The number of patients received CRRT increased from 90 in 2002 to 194 in 2006. The most common indication for CRRT was azotemia (40.0%). Before CRRT treatment, patients were 78.6 () of BUN value and 5.0 () of Cr. value. The standard values of BUN and Cr. were lowered. Compared the survival group with the death group, there were significant differences among the medical departments and the main diagnosis group. Their BUN and creatinine value, APACHE II score, mean blood pressure, and oliguria were significantly different (p<0.05).
Conclusion: This survey demonstrates a trend that patients receiving CRRT has been increased. We suggest further studies are needed in some hospitals in order to generalize the results and to find how CRRT treatment affects patient’s survival and death rate.
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KeyWords
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지속적신대체요법, 신대체요법, 급성신부전
CRRT, Renal replacement therapy, ICU
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원문 및 링크아웃 정보
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등재저널 정보
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