Continuous blood purification in the treatment of critically ill patients in the observation and nursing care.docVIP

 PAGE \* MERGEFORMAT 8 Continuous blood purification in the treatment of critically ill patients in the observation and nursing care Of: Wang Ying, Feng Li, Li Li, Zhang Yu, Dong-Mei Liu [Keywords:] continuous blood purification in critically ill patients, nursing Blood purification, is clinically a new life support technologies. It cleans the blood, the small molecules, ultrafiltration rid of excess moisture, the removal of the role of various inflammatory mediators have been many studies able to confirm [1], has become an important part of emergency medicine, to reduce mortality in critically important for patients. now we have 21 cases of application in critically ill patients during continuous blood purification treatment reported in the following observation and nursing care . 1 Materials and Methods 1.1 Clinical data of 21 patients hospitalized for the subjects in our hospital in critically ill patients, male 16, female 5 cases, aged 20 to 53 years. 1.2 Methods The Seldinger technique of central venous catheter line to establish vascular access, including jugular vein catheterization in 14 cases, 7 cases of femoral vein catheterization using the Fresenius 4008-S machine AV600S polysulfone membrane filters, with an area of #8203;#8203;1.3 m2 ~ 1.4m2, replacement fluid under the patient’s condition prepared by the hospital itself, the flow is 2000 ~ 4000ml / h, blood flow was 200 ~ 300ml/min, with low molecular weight heparin (anticoagulant Fraxiparine, when there is bleeding or bleeding tendency, minimize the use of or disabled. heparin use: the first dosage 2000u, Fraxiparine 0.4ml (4100u + saline 9.6ml, 4 hours after the hour 1ml, treatment for at least 84 hours, up to 20 days. 2 Results 21 patients, 18 cases improved, 3 cases gave up treatment because of the termination of continuous blood purification therapy, 18 patients by continuous blood purification in 8 to 24 hours after treatment, the patient vital signs stabilized, hem