ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (1): 21-25.

• 综述 • 上一篇    下一篇

连续血液净化治疗儿童脓毒症的研究进展

  

  • 出版日期:2022-02-25 上线日期:2023-12-05

Research progress in continuous blood purification therapy for pediatric sepsis

  • Published:2022-02-25 Online:2023-12-05

摘要: 血液净化是儿童脓毒症的重要辅助治疗手段,连续血液净化(CBP)和血浆置换是血液净化治疗儿童脓毒症的常用模式。血浆置换治疗儿童脓毒症的效果目前缺乏大型随机对照研究的支持;CBP具有防治液体超载、稳定血流动力学、持续替代或保护受损脏器等优势,常用于儿童脓毒性休克和脓毒症相关器官功能障碍的辅助治疗,CBP的治疗剂量目前不建议采用高容量血液滤过,但对CBP干预的具体时机尚未达成共识。本文就CBP治疗儿童脓毒症的研究进展进行探讨。

关键词: 脓毒症, 血液净化, 儿童

Abstract: Blood purification is an important adjunctive therapy for pediatric sepsis.Continuous blood purification(CBP) and plasma exchange(PE) are commonly used models in the treatment of pediatric sepsis.The efficacy of PE in the treatment of sepsis in children is currently not supported by large randomized controlled studies.CBP has the advantages of preventing and treating fluid overload,stabilizing hemodynamics,and continuously replacing or protecting damaged organs,so it is often used as the adjuvant therapy for septic shock and sepsis-associated organ dysfunction(SAOD) in children.High-volume hemofiltration is not recommended for CBP dosage,but there is no consensus on the timing of CBP intervention.In this paper,the research progress in CBP in treating sepsis in children was discussed.

Key words:

Sepsis, Blood purification, Children