KẾT QUẢ LỌC MÁU LIÊN TỤC TRONG ĐIỀU TRỊ SỐC NHIỄM KHUẨN TẠI KHOA HỒI SỨC TÍCH CỰC CHỐNG ĐỘC, BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Objective: To describe the clinical and subclinical efficacy and outcomes of continuous hemodialysis in patients with septic shock. Methods: Patients diagnosed with septic shock were treated with continuous renal replacement therapy (CRRT) at the ICU, Thai Nguyen Central Hospital, from July 2024 to July 2025. Results: 40 patients, 27 males, 13 females, the mean age 62.3 ± 14.7 years. Respiratory tract infections accounted for the largest proportion of septic shock cases (55%). Before dialysis, the average number of organ failures  4.3 ± 1.00,  SOFA score 11.9 ± 2.7.The severity before dialysis, organs failure 4.3 ± 1.00, SOFA score 11.9 ± 2.7. In the study, 14 patients (35%) achieved shock resolution, while 26 patients (65%) died. The average time to shock resolution was 88 ± 47.30 hours. Patients with pre-dialysis SOFA scores between 2 - 9 had a higher rate of shock resolution. Conclusion: Continuous renal replacement therapy is effective in the treatment of septic shock. Early initiation of therapy should be considered in patients diagnosed with septic shock.