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特殊环境下便携式连续性血液净化机的使用和护理初探 被引量:1

Exploration on Application and Nursing of Mobile Continous Blood Purification Machine under Special Enviroments
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摘要 目的观察便携式连续性血液净化机(mobile continous blood purification machine,MCBPM),在海上颠簸、摇摆的环境下治疗数据的准确性和机器报警监测系统的安全性,并探索护士在特殊环境下实施连续性肾脏替代治疗(continous renal replacement treatment,CRRT)的操作技巧和护理。方法选择健康犬在海船上进行CRRT,观察其生命体征。将治疗参数的机器显示值与实际测量值进行比较;观察机器报警监测系统的敏感度;体验和改进机器的最佳操作方法。结果(1)试验犬生命体征平稳。(2)机器每小时的置换液量机显值与实测值的误差为0.28%,废液的机显值与实测值的误差为0.17%,符合国家行业标准。(3)机器报警监测系统能保证安全治疗。(4)采用"立体三角"式双手操作法或"三点"支撑、三位一体、同步运动式操作法是实施CRRT的最佳方式。结论便携式连续性血液净化机能够在颠簸、摇摆等恶劣的环境中正常工作并保持良好的性能。 Objective To observe the data accuracy and the safety of the monitoring and alarm system of the mobile continous blood purification machine(MCBPM) at the swinging and bumping environment on the sea,and explore of the operative and nursing skills to carry out the continous renal replacement treatment(CRRT)under special enviroments.Methods Healthy dogs were given CRRT on board to observe the vital signs.A comparison of treatment parameters between the show value on the machine and the actual measured values was conducted.The sensitivity of the alarm monitoring system of MCBPM was observed to improve the operational techniques of the machine.Results (1)The vital signs of the testing dogs were stable.(2) The error between the machine-displayed value and the real value of the quantity of displacement liquid was 0.28%,and 0.17% for the waste liquor.(3) The machinery alarm monitoring system could guarantee the safety of the treatment.(4)The "three-dimensional triangular" bimanual ness or "three points" support、three-in-one,synchronous movement operation are the optimal way to carry out CRRT.Conclusion Experiments on animals on the sea confirmed that MCBPM could maintain a good performance under the severe bumping and swing environments.
出处 《解放军护理杂志》 2009年第24期74-76,共3页 Nursing Journal of Chinese People's Liberation Army
基金 海军后勤科研课题(07-3308)
关键词 便携式 连续性血液净化机 海上 使用 护理 mobile continous renal replacement treatment(CRRT) on the sea usage nurse
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