【摘要】 目的:探讨无肝素血液透析在合并高度出血危险的透析患者中的应用及护理体会。方法:对53例合并活动性出血或有出血倾向的血透患者进行无肝素血液透析,并分别于血液透析前、透析结束后测定白陶土部分凝血活酶时间(KPTT),观察管道及透析器凝血情况、临床症状等变化。结果:53例患者应用无肝素血液透析214例次均成功,测定凝血时间118次,出血情况未加重。结论:无肝素血液透析对合并活动性出血或有出血倾向的血透患者效果满意、安全、可靠,不加重患者的出血现象。更多还原

【Abstract】 Objective To discuss clinical application and nursing experience of non-heparin hemodialysis for treatment of patients complicated with high hemorrhage risk. Methods 53 patients with active hemorrhage or high hemorrhage risk were treated with non-heparin hemodialysis,mensurated the KPTT pre-hemodialysis and 1 hour after dialysis,observed the degree of coagulation within dialysers and pipeline and the change of clinical manifestation.Results All non-heparin hemodialysis with 214 times in 53 patients were successful and the KPTT pre-hemodialysis were mensurated for 118 times,with no hemorrhage symptom aggravated.Conclusion Non-heparin dialysis is an effective,safe and credible method which can be used for treatment of renal failure patients complicated with active hemorrhage or high hemorrhage risk,which doesn’t aggravate the hemorrhage symptom generally.更多还原