无肝素透析患者凝血的预防研究进展  

Research Progress on Prevention of Coagulation of Patients with Heparin-Free Dialysis

作　　者：秦钟媚 QIN Zhongmei(Guilin City People's Hospital,Guilin,Guangxi 541002)

机构地区：[1]桂林市人民医院,广西桂林541002

出　　处：《智慧健康》2023年第23期63-67,共5页Smart Healthcare

基　　金：广西壮族自治区卫生健康委员会科研项目(项目编号:20210557)。

摘　　要：在血液透析过程中不使用任何抗凝剂的透析方法称为无肝素透析。无肝素透析是器官出血、凝血功能障碍以及术后等透析患者透析时常用的透析方式,其主要危害是造成体外循环发生凝血,使患者丢失血液导致贫血,降低透析充分性,引起医疗纠纷,增加患者经济负担和透析护士工作量。本文就透析器的选择、透析器和管路的预冲、患者血流量、血液高凝情况、护理人员因素等无肝素透析患者凝血现象发生的主要原因进行分析,近年来无肝素透析患者凝血的预防研究进行回顾综述,旨在为后续研究提供参考依据。Dialysis method without any anticoagulant during hemodialysis is called heparin free dialysis,which is a commonly used dialysis method for dialysis patients with organ bleeding,coagulation dysfunction,and postoperative complications,with main harm of coagulation during extracorporeal circulation,loss of blood and anemia,reducing dialysis adequacy,causing medical disputes,increasing economic burden of patients,and increasing workload of dialysis nurses.The article analyzes main causes of coagulation of non heparin dialysis patients,including the selection of dialyzers,pre flushing of dialyzers and pipelines,blood flow,blood hypercoagulability,and nursing staff factors,reviewed research on coagulation prevention of non heparin dialysis patients in recent years,to provide reference for future research.

关 键 词：无肝素透析 凝血 预冲 高通透析器 

分 类 号：R473.5[医药卫生—护理学]