Plasma exchange on nursing of patients with severe hepatitis.doc

 PAGE \* MERGEFORMAT 6 Plasma exchange on nursing of patients with severe hepatitis [Abstract explained the purpose of plasma exchange in treatment of severe hepatitis in the process of nursing care. Observed before treatment, treatment, care and treatment focus on three stages, treatment of adverse reactions. The result is a heavy-duty plasma exchange treatment Treatment of hepatitis a very effective way to ensure that care is an important part of treatment. Conclusion care to reduce complications of treatment, and promote rehabilitation of patients played an important role. Artificial liver (the liver began in the 20th century, 50 years, proved in 1956 Sorrentino fresh liver tissue can metabolize ketone bodies, barbiturates, and ammonia, for the first time that “artificial liver” concept, is the use of in vitro mechanical, chemical, or biological device, a temporary or partial replacement of liver function approach, to help treat liver dysfunction or related disorders [1]. liver is divided into non-traditional biological, bio-based, combination-type categories. common liver plasma exchange technology, the classic method is to draw blood, separate plasma and cellular components, discard the plasma, and cellular components and add to albumin, plasma transfusion and other body fluid balance for the regeneration gain time, now our department since January 2004 -2005 artificial liver treatment in June Nursing summarized as follows: 1 Clinical data The group of 7 patients, all male, aged 40-59 years, are chronic severe hepatitis. The condition of patients to plasma exchange treatment 1-2 times per replacement 2000-3000ml. 2 Methods Application of blood purification device, and appropriate selection of plasma separator line and heparinized saline 1000ml-1500ml pre-washed. Set the parameters: blood flow 60-100ml/min. Plasma exchange volume :2000-3000ml. Plasmapheresis Speed: 25 - 30 ml / min. to establish cardiopulmonary bypass pathway. ea