人工肝血浆置换术治疗重型肝炎疗效观察及护理

Curative Effect and Nursing of Heavy-duty hepatitis through Artificial liver plasma replacement therapy

目的:探讨人工肝血浆置换术治疗重型肝炎的疗效。方法:对78名重型肝炎患者进行了185例次人工肝血浆置换治疗,比较其前后临床症状、总胆红素(TBIL)、直接胆红素(dBIL)、凝血酶原时间(PT)、白蛋白(ALB)的变化。结果:与治疗前相比,临床症状减轻,TBIL、IBIL、PT均显著降低,差异有显著性(P<0.01),ALB无显著变化(P>0.05),存活42例,死亡36例,存活率53.8%。结论:人工肝血浆置换术是治疗重型肝炎病人一种安全、有效的治疗方法,可明显提高病人的存活率。

Objective： To explore the Curative Effect of Heavy - duty hepatitis through Artificial liver plasma replacement therapy. Methods： Artificial liver plasma exchange treatment has been conducted to twenty -four Heavy - duty hepatitis patients 42 cases or times. Comparing the clinical symptoms, the total bilirubin （TBIL）, direct bilirubin （ DBIL ）, prothrombin time （ PT）, albumin （ ALB ） changes. Results： We find clinical symptoms axe reduced, IBIL, PT TBIL, are significantly reduced （ P 〈0. 01 ） ,ALB（P 〉0. 05） is not significantly changed,13 cases live,11 cases die. The survival rate reaches 53.8%. Conclusion：Artificial liver plasma replacement to heavy- duty hepatitis patient treatment is a safe and effective treatment method,which could evidently improve the patient＇s survival rate.