摘要
目的探讨肿瘤相关性肾衰患者血液透析短期中心静脉导管封管的最佳方法。方法将20例肿瘤相关性肾衰患者采用自身对照法分为两组,每例患者操作10次,对照组5次,用稀肝素封管,肝素浓度为250U/ml。实验组5次,采用浓肝素封管,肝素浓度为3125U/ml。比较两组封管液封管对患者凝血4项(PT、APTT、TT、FIB)的影响,以及血流量、导管堵塞、置管处渗血发生率等。结果两组凝血4项和置管处渗血发生率比较,无显著性差异(P>0.05),两组血流量、导管堵塞比较有显著性差异(P<0.01)。结论浓肝素封管法安全、有效,是肿瘤相关性肾衰患者血液透析短期中心静脉导管理想的封管方法。
Objective To explore the best way of sealing short--term central venous catheter in hemodialysis of patients with tumor. Methods 20 cases of tumor--associated renal failure patients using self contrast method is divided into two groups, each patient operation 10, control group 5 times with diluted heparin tube（250u / ml）, the experimental group 5 times with the concentrated heparin （3125u / ml）, The obstruction rate , seepage , blood flow and PT, Atr~, Tr, FIB were compared. Results There was significant difference in obstruction rate and blood flow between the two groups （ P〈0. 05）. There was no significant difference seepage and PT.AFFT.TT.FIB between the two groups （P〉0. 05）. Conclusion concentrated heparin solution （each ml containing heparin 3125 U） is safe and effective , is the ideal sealing method for hemodialysis of patients with tumor with central venous catheterization.
出处
《临床护理杂志》
2012年第3期12-14,共3页
Journal of Clinical Nursing
关键词
肾透析
中心静脉导管封管
肾功能衰竭
renal dialysis
central venous catheter sealing
kidney failure
