摘要
目的探讨无肝素血液透析对于高危出血患者的临床应用。方法将16例合并不同器官出血的急慢性肾功能衰竭患者设为无肝素血透组,每周3次无肝素血透3～4h；另16例条件相似患者设为对照组,用低分子肝素抗凝作为对照。结果无肝素血透组患者出血很快控制,症状明显好转,测定透析前后尿素氮及两组透析器残余容量,提示无肝素血透组透析效果优于对照组。结论对于合并出血的肾功能衰竭患者,应采用无肝素血透,在改善尿毒症同时,降低继续出血的危险性。
Objective To sum up the experience in clinical application of non - heparin hemodialysis for treatment of renal failure patients complicated with hemorrhage. Methods Sixteen acute or chronic renal failure patients with hemorrhage were chosen as observation group and treated with non- heparin hemodialysis 3 times per week, and 3 to 4 hours per time; another 16 patients of same conditions were selected as control and treated with low molecule - weight heparin to avoid bleeding. Results Hemorrhage in 16 patients of the observation group was quickly controlled and their clinical symptom was apparently improved; the results of determination of concenlxation of BUN and residual content in dialyzer before and after dialysis showed that it is better in the observation group than that of the control group. Conclusion Non - heparin dialysis can be used for treatment of renal failure patients complicated with hemorrhage for improving the symptom of urinemia and reducing risk of hemorrhage ought to use the method of in order to reduce the risk of hemorrhage.
出处
《中国热带医学》
CAS
2006年第3期496-496,517,共2页
China Tropical Medicine
