文章摘要
何丽,陈金荣.双重血浆分子吸附系统治疗高胆红素血症的不良事件及护理[J].安徽医药,2018,22(10):2058-2061.
双重血浆分子吸附系统治疗高胆红素血症的不良事件及护理
Adverse events and nursing care of hyperbilirubinemia treated by double plasma molecular adsorbent system
投稿时间:2017-04-10  
DOI:
中文关键词: 高胆红素血症  血液滤过  安全管理
英文关键词: Hyperbilirubinemia  Hemofiltration  Safety management
基金项目:
作者单位
何丽 新疆医科大学第一附属医院 感染中心一病区,新疆维吾尔自治区 乌鲁木齐 830000 
陈金荣 新疆医科大学第一附属医院急救创伤中心门诊,新疆维吾尔自治区 乌鲁木齐 830000 
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中文摘要:
      目的 观察双重血浆分子吸附系统(DP-MAS)在治疗高胆红素血症过程中出现的不良事件,并提出其护理措施。 方法DP-MAS治疗高胆红素血症患者60例,其中肝衰竭38例、药物性肝炎5例、原发性胆汁性肝硬化12例、急性戊肝3例、中毒2例。分析在治疗过程中出现不良事件的类型、比例,提出护理措施。 结果 治疗过程中管路压力异常增高19例(31.67%,19/60);过敏9例(15.00%,9/60);血压下降5例(8.33%,5/60);穿刺部位血肿及出血2例(3.33%,2/60);其余25例(41.67%,25/60)无不良事件。 结论 对于高胆红素血症患者,DP-MAS是安全有效的治疗方法,治疗过程中出现的不良事件是可以预防及处理的。
英文摘要:
      Objective To observe the adverse events caused by double plasma molecular adsorbent system (DP-MAS) in the treatment of hyperbilirubinemia and to propose nursing measures. Methods Sixty patients with hyperbilirubinemia were treated with DP-MAS,including 38 cases of liver failure,5 cases of drug-induced hepatitis,12 cases of primary biliary cirrhosis,3 cases of acute hepatitis Eand 2 cases of poisoning.The types and proportions of adverse events during treatment were analyzed,and nursing measures were put forward. Results During the treatment,there were 19 cases (31.67%,19/60) of abnormally increased line pressure,9 cases (15%,9/60) of allergy,5 cases (8.33%,5/60) of decreased blood pressure,2 cases (3.33%,2/60) of hematoma and hemorrhage at puncture site.And the rest 25 cases (41.67%,25/60) had no adverse events. Conclusions DP-MAS is a safe and effective treatment for patients with hyperbilirubinemia,and the adverse events in the treatment process can be prevented and treated.
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