Continuous Venovenous Hemofiltration in Complex Treatment for Generalized Peritonitis

Abstract

Objective: to evaluate the efficiency of continuous venovenous hemofiltration in patients with generalized peritonitis complicated by multiple organ dysfunction. Subjects and methods. Thirty-seven patients with acute generalized peritonitis were examined. Continuous hemofiltration was used during traditional therapy in Group 1 (n=17); the remaining patients (a control group) received only traditional therapy. The time course of changes in the parameters of toxemia and a hemo-stasiogram were studied. Results. The study indicated better homeostatic parameters, regression of multiple organ dysfunctions, and lower mortality rates in the use of the above procedure. There was a reduction in the count of platelets during hemofiltration, which restored after the end of the procedure. Key words: generalized peritonitis, multiple organ dysfunctions, hemofiltration.