Plasma exchange treatment of severe hepatitis care.doc

 PAGE \* MERGEFORMAT 6 Plasma exchange treatment of severe hepatitis care Viral hepatitis is the most serious type, accounting for about 0.2% -0.5%, hepatitis, hepatitis patients in serious condition and high mortality. There is no effective treatment, now a new technology, artificial liver support system for the treatment of severe hepatitis, liver failure, a new method, you can temporarily replace the liver function, regeneration of liver cells to create a time conducive to cell regeneration and liver transplant recipients remaining stable through graft period. plasmapheresis surgery for the treatment of artificial liver support one of the more mature. now I am in the application of plasma exchange in treatment of severe hepatitis related to technical operations and nursing and processing reports as follows. 1 Clinical data 1.1 General Information of this group 36 males and 10 females, aged 15-71 years old. Clinical diagnosis are in line with 2000 lt;lt;National Viral Hepatitis Prevention program standardsgt;gt;. Acute hepatitis in 11 cases, 35 cases of chronic severe hepatitis, which 8 cases of early, mid 15 cases, 12 cases of late. Treatment capacity of 1.2 KM-8800 using the Japanese or the KM-8900 and supporting pipe, PS-06 plasma membrane plasma separators, replacement, the use of double lumen tube for femoral vein puncture, the establishment of cardiopulmonary bypass channel. Each time replacement is about 3000 ml of plasma treatment time is about 2-4h, intervals of time 4d, replacement 1-3 times per patient, up to 7 times. 2 Results The clinical symptoms in patients with varying degrees of ease: fatigue, abdominal distension, nausea, reduced appetite increased, significant improvement of hepatic encephalopathy. Liver function tests: bilirubin, transaminase decreased significantly, PTA increased blood ammonia decreased. Which improved and discharged 40 cases, deterioration of 3 died, the condition discharged without sign