摘要
目的探讨肾衰出血病人血液透析体外循环抗凝方法。方法对在我院血透中心的慢性肾衰综合征出血病人25例,血液透析时分别采用不同的抗凝方法:单剂量低分子肝素透析、小剂量普通肝素透析、无肝素透析、体外肝素透析、不伴液体冲洗无抗凝剂透析。结果完成透析47次,无1例出血加重。结论急、慢性肾衰综合征患者急需血液透析时,不能因合并出血而消极等待,只要选择合理的抗凝方法,既能顺利完成透析,又不加重病情。其效果良好,值得推广。
Objective Study anti - cohere method and summary of renal failure and bleeding patient being donehemodialysis and exreacorporeal circulation. Methods There are 25 patients with an urgent or chronicity renal failure inthe artificial kidney center of my hospital. We use respective anti - cohere method following to do hemodialysis:hemodialysis with mono- dosage and low molecu heparin, hemodialysis with micro- dosage heparin, hemodialysis with-out heparin, hemodialysis with heparin in vitro, hemodialysis without fluid flushing and anticoagulant. Results For 47times, no one aggravated with bleeding. Conclusions patients with an urgent or chronicity renal failure needinghemodialysis shouldn't wait negatively because of bleeding, if you choose reasonable anti- cohere method, can you com-plete the mission successfully and keep the patient's condition steady. This method is very good and worth of spreading.
出处
《中国医药导报》
CAS
2006年第14期58-59,共2页
China Medical Herald
