持续缓慢低效透析在抢救重危老年肾衰患者中的应用与护理  

Sustained low-efficiency dialysis(SLED) for critical geriatric patients & nursing care

作　　者：周薇[1] 周利民[1] 魏红[1] 尤金芳[1] 马燕娟[1] 余雁[1] 

机构地区：[1]江苏省无锡市人民医院血液净化中心,江苏无锡214003

出　　处：《实用临床医药杂志》2011年第16期25-26,共2页Journal of Clinical Medicine in Practice

摘　　要：目的探讨持续缓慢低效透析(SLED)在抢救重危老年肾衰患者中的应用与护理。方法对115例重危老年终末期肾衰患者行SLED治疗,采用德国Fresenius 4008S ART血液透析机,血流量150～200 mL/min,F60S高通量透析器,治疗时间8～12 h。治疗中护士严密观察患者病情变化;维持体外循环通畅;监测机器运行状况;做好血管通路的护理。结果 115例重危老年终末期肾衰患者行SLED治疗263次,存活率为97.39%,112例患者按计划完成SLED治疗,病情得到控制,继续维持性血液透析。结论 SLED治疗体外循环时间长,患者病情变化快,护理人员高度的责任心、敏锐的判断力及处理问题的能力是危重患者行SLED治疗成功的关键。Objective To discuss sustained low-efficiency dialysis（SLED） for critical geriatric patients nursing care measures.Methods 115 critical ESRD elderly patients were treated with SLED.We use 4008S-ARrtplus High-flux dialyser F60S（Fresenius）,every session was 8～12 hours with blood flow rate 150～200 mL/min.During every treatment session,nurses need to observe the patients closely,keep the blood circuit patency,maintain the dialysis machines in normal operation,care for the access.Results Totally 263 treatments were conducted with SLED in these 115 patients,the survival rate is 97.39%.Including 112 who were treated with SLED smoothly as planned and status were improved,and then transferred to maintenance hemodialysis.Conclusion SLED mode is characteristic of long duration of extracorporeal circuit patients＇ condition change quickly.It needs clinical staffs to have high responsibility,sensitive judgment capability of problem dealing with which are key factors of successful SLED for critical patients.

关 键 词：持续缓慢低效透析 重危 终末期肾衰 间歇性血液透析 护理 

分 类 号：R473.5[医药卫生—护理学]