Nursing of plasmapheresis.doc

 PAGE \* MERGEFORMAT 10 Nursing of plasmapheresis [Keywords:] plasmapheresis Nursing Plasma exchange (PE is to use artificial methods to clean the blood circulation in liver failure due to harmful substances, the liver function to some extent compensated, so as to gain time for regeneration of liver cells, ???Σ for rehabilitation [ 1]. It is the patient’s blood leads to the body, through the plasma separator, the plasma separated from whole blood discarded, adding the same amount of fresh frozen plasma, eliminating the patient’s blood in a variety of metabolic toxins and pathogenic factors to supplement the material essential to reduce the harmful substances on the organ damage. It not only can replace part of the liver detoxification function, you can also replace part of synthesis, to win time to repair liver cells, so that some patients and transition to recovery or liver regeneration gain time to wait for donor liver transplantation, prolonged survival time of patients. I hospital epidemiology started from August 2004 to carry out plasma exchange treatment of severe hepatitis, now nursing are summarized below. 1 Clinical data August 2004 to December 2007 were treated 56 patients with severe hepatitis, including 8 cases of subacute severe hepatitis, 48 cases of chronic severe hepatitis were treated with plasma exchange technology. Including 33 males and 23 females, age 26 65 years old, average 40.6 years old. the application of domestic Vigor blood purification device company, a total of 56 cases of severe hepatitis patients with plasma exchange 168. treatment of clinical symptoms and biochemical parameters were improved in different degrees, such as mental improvement, fatigue, anorexia, abdominal distension and reduced serum total cholesterol, decreased alanine aminotransferase, CHE, PTA was increased, albumin, globulin also decreased liver PTA 40% less weight, significantly reduced mortality, improved survival rate. 2 Nursing 2.1 Preoper