连续性白蛋白净化系统治疗重型肝炎的护理操作方法及疗效
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摘要
目的探讨连续性白蛋白净化系统(continue albumin purification system,CAPS)治疗重型肝炎的护理操作方法及疗效。方法 :根据分子吸附再循环系统(molecular adsorbent recirculating system,MARS)治疗原理,利用床边血滤机和血透机对13例重型肝炎患者行CAPS治疗45例次,探讨护理操作方法并观察治疗前后各项肝功能、肾功能、电解质和凝血功能指标的变化。结果 CAPS治疗重型肝炎操作方法相对MARS简单可行,治疗费用明显降低,治疗后各项肝功能、肾功能和凝血功能指标明显好转。结论 CAPS是人工肝支持系统(artificial liver support system,ALSS)治疗重型肝炎的新方法,操作方法相对MARS简单可行,但应总结护理经验,预防并发症发生。
Objective To explore the operation method and effect of nursing in treatment of patients with severe hepatitis by continuous albumin purification system(CAPS).Methods According to the principle of molecular adsorbent recirculating system(MARS),13 patients with severe hepatitis were treated with CAPS for 45 cases by bedside blood filter and hemodialysis machine.And investigate the changes of liver function,renal function,electrolyte and blood coagulation indexes before and after nursing manipulation therapy.Results CAPS in the treatment of patients with severe hepatitis is more simple and feasible than MARS,and the cost of treatment significantly reduced.After the treatment,the liver function,renal function and coagulation index improved significantly.Conclusion CAPS is a new method of artificial liver support system in the treatment of severe hepatitis,whose operation method is more simple and feasible relative to MARS.Nevertheless,we also should prevent the complications.
Objective To explore the operation method and effect of nursing in treatment of patients with severe hepatitis by continuous albumin purification system(CAPS).Methods According to the principle of molecular adsorbent recirculating system(MARS),13 patients with severe hepatitis were treated with CAPS for 45 cases by bedside blood filter and hemodialysis machine.And investigate the changes of liver function,renal function,electrolyte and blood coagulation indexes before and after nursing manipulation therapy.Results CAPS in the treatment of patients with severe hepatitis is more simple and feasible than MARS,and the cost of treatment significantly reduced.After the treatment,the liver function,renal function and coagulation index improved significantly.Conclusion CAPS is a new method of artificial liver support system in the treatment of severe hepatitis,whose operation method is more simple and feasible relative to MARS.Nevertheless,we also should prevent the complications.
引文
[1]王英杰,李梦东.人工肝支持系统及其治疗重型肝炎的研究现状[J].中华传染病杂志,1999,17(4):30.
[2]郭利民,董庆华,王宇,等.国产CAPS人工肝临床应用报告[EB/OL].道客巴巴.[2012-10-26].http://doc88.com/P-149804958666.HTML.
[3]蒋文,朱勇根.非生物人工肝支持系统治疗重型病毒性肝炎的临床观察[J].中国血液净化,2003,2(1):12.
[2]郭利民,董庆华,王宇,等.国产CAPS人工肝临床应用报告[EB/OL].道客巴巴.[2012-10-26].http://doc88.com/P-149804958666.HTML.
[3]蒋文,朱勇根.非生物人工肝支持系统治疗重型病毒性肝炎的临床观察[J].中国血液净化,2003,2(1):12.