严重出血倾向患者行血液透析的抗凝方法研究

Study on Anticoagulant Method for Hemodialysis Patients With Severe Bleeding Tendency

针对目前临床存在严重出血倾向患者行血液透析时常用的抗凝方式进行汇总,临床上常用的抗凝方式有小剂量低分子肝素钙抗凝,鱼精蛋白中和肝素抗凝,局部枸橼酸抗凝,定时生理盐水冲洗,特殊耗材应用等。各种抗凝方法均能一定程度的避免透析时凝血的发生,保证治疗顺利进行,临床应结合患者实际病情选择合适的抗凝技术,既能达到透析治疗要求,又不至于发生出血。

Anticoagulation commonly used for current clinical severe bleeding tendency in patients with hemodialysis were collected, commonly used in clinical anticoagulation with small dose of low molecular weight heparin anticoagulation, protamine and heparin, regional citrate anticoagulation, timing of saline water, special material application etc. All kinds of anticoagulation methods can avoid blood dialysis to some extent, ensure smooth treatment, the actual condition of the patients should be considered to choose appropriate anticoagulation, can achieve dialysis treatment requirements without bleeding.