摘要
目的 探讨血液透析发生凝血的原因及预防措施.方法 通过对行血液透析患者治疗时的观察,及透后测量透析器血室容量,病例记录资料整理,回顾性分析了35例血液透析患者透析器内Ⅱ～Ⅲ级凝血的原因.结果 患者发生Ⅱ～Ⅲ级凝血的原因包括患者体质引发的,医生未评估到位,护士技术或操作导致的凝血.结论 普及医护人员抗凝知识,加强血液透析患者凝血状态的评估和检测；及时合理调整抗凝方案,端正工作态度,熟练血液净化技术,才能有效减少凝血的发生.
Objective To discuss the reasons and preventive measures of coagulation occurred in hemodialysispatients.Methods Through the observation of hemodialysis patients,the measurement of blood chamber capacity,and the processing of case record data,make a retrospective analysis on the 35 cases of hemodialysis in grade Ⅱ-Ⅲ coagulation.Results The reasons that patients occurred grade Ⅱ-Ⅲ coagulation are as follows:patients' body constitution,the doctor did not evaluateappropriatly,nurses' technique or machine operation.Conclusion In order to effectively reduce the incidence of coagulation,it is necessary to popularize the anticoagulation knowledge of medical personnel;to strengthen the assessment and examination of blood coagulation state in hemodialysis patients;to timely adjust anticoagulation methods;to take a correct attitude towards work,skilled in blood purification technique.
出处
《透析与人工器官》
2012年第1期39-41,共3页
Chinese Journal of Dialysis and Artificial Organs
关键词
血液透析
凝血
hemodialysis
coagulation
