连续性血浆吸附灌流治疗后血滤机管路中血液回输新方法的探讨  

Exploration of a new method of blood transfusion after continuous plasma adsorption perfusion

作　　者：刘亮亮[1] 张引[1] 燕朋波[1] 李国锋[1] 李国强[1] 

机构地区：[1]武警后勤学院附属医院呼吸与重症医学中心,天津300162

出　　处：《中国医学装备》2016年第12期99-101,共3页China Medical Equipment

基　　金：武警后勤学院附属医院科研种子基金面上项目(FYM201611)"血管外肺水及肺血管通透性指数对急性百草枯中毒患者预后早期评价研究"

摘　　要：目的:探讨连续血浆吸附灌流(PAP)治疗结束后血滤机管路中血液回输新方法,实现治疗后血液成分稳定、安全及最大化回输。方法:选取进行PAP治疗的112例急性药物中毒患者,在治疗结束后将血浆分离器倒置,利用空气或生理盐水回输其中的血液成分。待回流至静脉壶水平后停止血滤机,将血液管路中连接血浆分离器的血液泵入端与灌流器的血浆泵入端互换位置,灌流器倒置后将血滤管路及灌流器中血液成分依次回输至患者体内。结果:实现治疗结束后血液回输,有效回输率>80%,实现了血液管路、血浆分离器以及血液灌流器中血液成分的充分有效回输,减少患者对血液制品的需求。血液回输过程由单人独立完成操作,减少一次性血液管路的浪费,减轻医护人员的工作量。结论:血液回输方法简单有效,可在患者治疗结束后及时完成血液成分的最大化回输,省时省力,值得在临床中推广应用。Objective： To explore the new method of blood transfusion after the treatment of continuous plasma adsorption perfusion（CPAP）, and realize the stable, safe and maximal return of blood components after treatment. Methods： 112 patients with acute medicine poisoning were treated with plasma absorption perfusion（PAP）. After the treatment is finished, the plasma separator is inverted to use air or physiological saline to return the blood. When it return to the top of vein pot, we stop the blood pump, then change the position of blood lines input of plasma separator with the blood lines input of hemoperfutor. Through the change of the bloodline connection mode, the blood components in the bloodline, plasma separator and hemoperfutor can fully return to the blood. Results： Through the 2014-2015 in our department 112 cases of acute drug poisoning patients treated with plasma absorption perfusion, the effective return rate is more than 80%. This method can be used to realize the sufficient return of blood components in the bloodline, plasma separator and hemoperfutor, and reduce the demand of the blood products. The above process can be done by a single person, and reduce the waste of disposable bloodline and the workload of medical care. Conclusion： This method is simple and effective, can realize the greatest return of blood components in time, and worth to be popularized in clinical.

关 键 词：连续性血浆吸附灌流 血液回输 新方法 血滤 

分 类 号：R459.5[医药卫生—治疗学]