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维持性血液透析合并脑出血的护理 被引量:6

Experience of nursing maintenance hemodialysis patients with cerebral hemorrbage
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摘要 目的探讨维持性血液透析(HD)患者合并脑出血的治疗与护理效果。方法对12例维持性血液透析患者合并脑出血,采用无肝素透析2~3周,同时给予常规治疗及其对应护理。结果7例脑出血病情控制,5例抢救无效死亡,有效率达58.3%。结果表明,有效地预防和处理血液透析中出现的并发症,并给予悉心护理,能提高患者生存率。结论无肝素血液透析使患者尿毒症得到及时治疗,脑出血得到改善,降低了尿毒症合并脑出血的死亡率。 Objective To investigate the therapy and nursing effect of the maintenance hemodialysis(HD) patients with cerebral hemorrbage. Methods 12 maintenance HD patients with cerebral hemorrbage were given no heparinization HD, and routine therapy and nursing for 2~3 weeks. Results 7 patients with cerebral hemorrbage were successfully controled, while 5 cases died,the effective rate it up to 58.3%. Results show that no heparinization HD therapy and carefully nursing can prevent the complications and enhance survival rate in maintenance hemodialysis(HD) patients with cerebral hemorrbage. Conclusion Through proper no heparinization HD therapy,uremia and cerebral hemorrbage were well improved, the mortality rate of uremia combined with cerebral hemorrbage was reduced.
出处 《中国实用护理杂志(下旬版)》 2005年第6期24-25,共2页 Chinese Journal of Practical Nursing
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  • 1[1]Kawamura M, Fijimoto S, Hisanaga S, et al. Incidence, outcome, and risk factors of cerebrovascular events in patients undergoing maintenance hemodialysis. Am J Kidney Dis, 1998, 31: 991
  • 2[2]Khoury J. The ABCs of measuring intracerebral hemorrhage volumes. Stroke, 1996, 27: 1304
  • 3[3]Shaldon S, Koch KM. Survival and adequacy in long-term hemodialysis. Nephoron, 1991, 59: 353
  • 4[4]Hirsh T, Levine MN. Low molecular weight heparin. Blood Coagul Fibrilysis, 1992, 79: 1
  • 5汪兰煜 钱莹 王玮等.低分子肝素在血液透析高危出血患者中的应用[J].中华内科杂志,2000,6(6):375-375.

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