机械通气联合CRRT和亚低温复合技术治疗重症手足口病患儿神经源性肺水肿的临床研究.pdf

Asian Case Reports in Emergency Medicine 亚洲急诊医学病例研究, 2016, 4(1), 1-7 Published Online February 2016 in Hans. /journal/acrem /10.12677/acrem.2016.41001 The Clinical Study of the Combined Treatment by Mechanical Ventilation Jointing Systemic Hypothermia and CRRT for Neurogenic Pulmonary Edema with Severe Hand, Foot and Mouth Disease in Children Feifei Luo, Yuanyuan Xu, Xiaoshuang Li, Jingmin Sun, Jiayun Jiang, Weihua Xu, Daliang Xu, Li Liu, Meiying Zhang, Qilian Xie* Emergency Center, Anhui Provincial Children’s Hospital, Hefei Anhui th st th Received: Jan. 5 , 2016; accepted: Jan. 21 , 2016; published: Jan. 28 , 2016 Copyright © 2016 by authors and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). /licenses/by/4.0/ Abstract Objective: To investigate the clinical curative effect of combined treatment by mechanical ventila- tion jointing systemic hypothermia and CRRT for neurogenic pulmonary edema with severe hand, foot and mouth disease in children. Methods: 26 cases were randomly divided into combined treatment group (hypothermia + CRRT + mechanical ventilation group, 13 cases) and control group (mechanical ventilation group, 13 cases). The rescue success rate and time of mechanical ventila- tion respectively, and the change of function of liver and kidney before and after treatment in two groups were recorded. Results: The rescue success rate of compound treatment group was ob- viously higher than that of control group; the time of mechanical ventilation was shorter than the control group; and the function of liver and kidney after 72 hours was better than control way. The differences were all statisticall