摘要
目的 探讨血液灌流（hemoperfusion,HP）联合血液透析（hemodialysis,HD）的临床作用及护理.方法血液灌流与血液透析交替进行：治疗8例药物、毒物中毒伴急性肾功能衰竭患者.血液灌流与血液透析同时进行：治疗10例尿毒症患者.结果药物、毒物中毒伴急性肾功能衰竭的8例患者中,7例治愈,肾功能恢复正常,死亡1例.尿毒症的10例患者中,经过6～8次HP＋HD后,患者睡眠、食欲、皮肤瘙痒症状及营养状况明显改善,3例甲旁亢患者的甲状旁腺素显著下降,2例心包炎患者的心包积液消失.结论血液灌流联合血液透析是药物、毒物中毒伴急性肾功能衰竭的必要治疗手段.2种方法联合应用起到优势互补的治疗作用,能明显改善尿毒症患者的中分子中毒症状,对预防透析相关并发症,改善患者的预后有重要的临床意义.
Objective To explore the clinical effect and nursing strategy ot hemoperfusion（HP） combined with hernodialysis（HD）. Methods 8 patients with poisoning and acute renal failure（ARF） were treated by HP＋ HD alternately. 10 patients with uremic were treated by HP＋ HD synchronously. Results Among 8 patients with poisoning and ARF, 7 cases were cured and his renal function recovered. 1 case died. in 10 patients with uremic, their sleep quality, appetite, skin itch and nutritional status were improved significantly after receiving HP＋HD treatment for 6-8 times. Among them, parathyroid hormone （PTH） of 3 cases with hyperparathyroidism was decreased obviously and hydropericardium sign of 2 cases with pericarditis was disappeared. Conclusions HP＋ HD is an essential treatment for the patients with poisoning and ARF. Combined HP with HD can take the advantage of each other and improve the symptoms that were related with middle molecular toxic substances. It plays a key role in preventing patients from hemodialysis-related complications and improving their prognosis.
出处
《现代护理》
2006年第9期859-860,共2页
Modern Nursing
关键词
血液灌流
血液透析
护理
Hemoperfusion
Hemodlalysis
Nursing
