摘要
目的回顾性研究单步经皮旋转气管切开术在持续性床旁血液滤过(CBP)全身性肝素抗凝患者中的临床应用效果,并评价其在临床应用中的安全性。方法对黑龙江省医院重症医学科2009年1月1日-2012年3月1日行单步经皮旋转气管切开术的40例病例进行回顾性比较分析,其中实验组20例患者同时行持续性床旁血液滤过全身性肝素抗凝治疗,对照组为凝血机制正常患者20例。观察两组患者24 h内总出血量在20 ml以内及20 ml以上例数的不同,比较两组患者24 h内出血量在20 ml以上的大出血率。结果与凝血机制正常患者相比,同时行持续性床旁血液滤过全身性肝素抗凝治疗中的患者行单步经皮旋转气管切开术的24 h内出血量在20 ml以上的大出血率差异无统计学意义。结论单步经皮旋转气管切开术在持续性床旁血液滤过全身性肝素抗凝治疗的患者中应用是相对安全的。
Objective To review the clinical application effect of percu twist in continue blood purification anticoagulated pa- tient,and evaluation of the safety in clinical application. Methods 40 cases undergoing Percu Twist from 2009 - 01 - 01 to 2012 -03 -01 in Heilongjiang Provincial Hospital were compared retrospectively,in which 20 cases were undergone CBP heparin anticoagulant therapy ,20 cases were normal. Total amount of bleeding within 20 ml and more than 20 ml within 24 hours of the two groups of patients of were different ,the difference of hemorrhage rate of bleeding within 24 hours in more than 20ml among the two groups of patients was compared. Results There were no statistically difference in serious bleeding ratio between two groups.
出处
《中华全科医学》
2012年第11期1692-1692,1698,共2页
Chinese Journal of General Practice
