투석기 막 파열 중 혈액투석 치료
Jul 02, 2024
The 관찰 의 환자 중 혈액투석 치료 is 밀접히 관련된 to the the 원리 의 혈액투석 치료.
혈액투석 is a 과정 의 사용 a 반투과성 막 만든 의 특수한 재료 to make hollow fibers. 혈액 실행 in the 속이 비어있는 섬유 루멘, and 투석 실행 외부 the hollow fiber tube. the 혈액 및 투석 분리된 의 the 투석 막. 중에 the 흐름 의 혈액 및 투석, 투석 치료 is 수행된 통해 확산, 대류, 및 기타 원리.
In this process, in addition to observing and caring for dialysis patients, it is also necessary to to focus on the safety of dialysis equipment, formulate various emergency plans for possible adverse events, and deal with emergencies in a timely manner. 중 them, 확실한 이유 in 혈액투석 치료 원인 the hollow fiber membrane of the 투석기 to rupture, and the blood in the lumen enters the dialysate and leaks, resulting in adverse events of dialyzer membrane rupture and bleeding.
그러나 투석기 막 파열 사건 아르 희귀, 저기 있다 정지된 a 확실한 수 의 사례 안 다센터 교환 및 학습. 안 주문 에 예방 그들 전에 그들 일어나, 우리 의지 토론 및 학습 와 더 동료 및 공식화 비상사태 계획.
분석 의 가능 원인 의 투석기 막 파열
In the early years, dialyzers were reused. during the reuse process, due to improper operation, excessive pressure during flushing, and excessive disinfectant concentration, the dialyzer may be damaged.
그러나, in 최근 년, there has been 기본적으로 no reuse of toly of 투석기. 중 the 사용 of 일회용 투석기, the 투석기 응고 is 원인 by 부적절한 사용 의 항응고제 중 치료, and the 투석기 막 파열 is 원인 by 높은 압력; the 한외여과 부피 is 너무 대 in a 짧은 기간 of time, or the transmembrane pressure exceeds the filter pressure due to some factors in the dialyzer, which 할 수 있습니다 원인 투석 막 파열.
At the same time, the dialyzer is damaged and the quality is not up to standard during transportation or process manufacturing, and membrane rupture and bleeding are discovered during use; in addition, during the pre-flushing process or treatment process, the replacement fluid tube is improperly used when the HDF mode is selected, the pressure detection is not timely, and the relevant alarms are not handled in time, 어느 할 수 있습니다 또한 원인 투석기 막 파열.
임상적 증상 의 투석기 막 파열 중 혈액투석 치료
때 the 투석기 막 파열, 혈액 할 수 있다 보인다 들어가다 the 투석하다 챔버 from the 속이 비어있다 섬유 막 혈액 챔버, and the 투석 회전 빨강. The 빠르다 발달 과정 의지 본다 a 크다 양 의 혈액 in the 우회 튜브. At this 시간, the 투석 기계 의지 일반적으로 소리 an 알람 to 지시 혈액 누출.
Compared with the detection of blood leakage by nurses' inspections, because the dialysate flow rate is very high, it cannot be detected in the first time by naked eye observation alone. In clinical practice, more blood leakage detectors of dialysis machines are needed. The blood leakage monitoring detector is a device that detects blood leakage using photoelectric principles and other methods. Blood leakage is monitored by the light transmittance of the dialysate. If there is blood mixed in the dialysate, the light transmittance of the dialysate is weakened, the photoelectric effect changes, and the machine alarms and automatically shuts down the blood pump to prevent further blood loss. The sensitivity of the photoelectric tube to detect blood leakage is {{0}}.4~0.5ml/L, and the hemoglobin concentration associated with this is 70mg/L. However, the blood leakage detector may also give false alarms, which may be caused by bubbles entering the dialysate, turbid dialysate or contamination of the blood leakage detector. The intelligent blood leakage detection device, that is, the principle of green light detection and infrared compensation, can distinguish true or false blood leakage.
In clinical practice, inspection during treatment is the key. Both are important and cannot be complete dependent on one method.
대응 및 예방 조치 for 투석기 막 파열 in 혈액투석
언제 the 투석기 막 파열 발생, 투석 필요 to be stop 즉시. In order to 피하다 혈액 오염, 혈액 해야 한다 하지 않는다 반환. 환자 과 중증 빈혈 필요 to 고려하다 보상 치료. 제거하다 the old 투석기 및 투석 파이프라인 in 시간. In 최근 년, it is 권장 to 제거 the 튜브 and 교체 the new 투석기 및 파이프라인 치료용. It is not 권장 to force 혈액 수혈.
The 2021 version of the SOP clearly states that after the membrane ruptures, the the arterial and venous ends of the dialysis line should be clamped immediately, and the blood in the extracorporeal circulation should be discarded; but, clinical experience sharing will allow us to do individualized treatment: for cases with small membrane Ruptures and positive TMP values, blood will be returnly routinely; in addition, with the 개발 의 the 혈액 정화 산업, The Management 의 처리-관련 수질 있다 되다 되다 더 정제된; 그러므로, in 추가 to TMP 고려, 고품질 수질 수질 is also an 중요 보증 for us to return blood to patients.
후 응급 치료, 그것 이다 필요하다 to 신중히 분석 the 원인 의 투석기 막 파열 사고, learn lessons, and 요약 예방 조치. In the operation process of 혈액투석, all staff need to learn the the knowledge of dialysis membrane rupture prevention, such as not too high 한외여과 volume, close monitoring of 정맥 압력 막관통 압력 and other pressure tests, to 회피 응고 and 높은 막관통 압력 in the 투석 체외 순환.
중 프라이밍 및 치료, the operating procedures must be strictly standardized to avoid situations such as the reverse connection of the replacement fluid tube, failure to use anticoagulants, failure to monitor venous pressure, and opening the blood pump without open or closing the blood circulation circuit. It is also necessary to to adjust the anticoagoation regimen in a timely and reasonable manner to reduction the the risk of dialyzer clotting; 정기적으로 평가 the function of the the 동정맥 누공, and 예방 및 즉각적으로 치료 합병증 such as as 동정맥 누공 협착 및 혈전증.
어떻게 합니까 육종 치료 신장 질병?
육종용 is a 전통 중국어 약초 약초 사용 세기 to 치료 다양한 건강 조건, 포함 질병육종용 사막, a 식물 토종 to the the 사막 의 중국 및 몽골. The main active components of cistanche are 페닐에타노이드 배당체, 에키나코사이드, 및 액테오사이드, which have been found to have 유익 효과 켜기 신장 건강.
신장 질병, 또한 알려진 as 신장 질병, 참조 to a 상태 in which the 신장 are not 기능 제대로. this can result in a 축적 의 폐기물 제품 and to the body, leading to 다양한 증상 및 합병증. 육종 할 수 있음 도움 치료 신장 질병 ase 통해 여러 개 메커니즘.
첫째로, cistanche has been found to have 이뇨제 속성, 의미 it can increase 소변 생산 and help 제거하다 낭비 제품 from the body. this can help relieve the the burden on the the kidneys and prevent the buildup of toxins. By promoting diuresis, cistanche may also help Reduce high blood pressure, a common complication of kidney disease.
더욱이, 시스탄체 있다 있었다 보여줬다 있다 항산화제 효과. 산화 스트레스, 원인 의해 an 불균형 사이 the 생산 의 자유 라디칼 및 the body's 항산화제 방어, plays a key role in the progression of kidney disease. ies help neutralize free radicals and reduce oxidative stress, thereby protecting the kidneys from damage. The phenylethanoid glycosides found in cistanche have been particularly effective in scavenging 자유 라디칼 및 억제 지질 과산화.
Additionally, cistanche has been found to have anti-inflammatory effects. Inflammation is another key factor in the development and progression of kidney disease. Cistanche's anti-inflammatory properties help reduce the production of pro-inflammatory cytokines and inhibit the activation of inflammation mandatory pathways, thus alleviating inflammation in the kidneys.
게다가, cistanche has been show to have immunomodulatory effects. In kidney disease, the immune system can be dysregulated, leading to excessive inflammation and tissue damage. Cistanche helps regulate the immune response by modulating the production and activity of immune cells, such as as T cells and macrophages. This immune regulation helps reduce inflammation and prevent more damage to the kidneys.
더욱이, 육종 있다 있다 발견되었다 개선하다 신장 기능 의해 촉진 재생 의 신장 튜브 포함 세포. 신장 관형 상피 세포 놀이 a 결정적 역할 in the 여과 및 재흡수 의 폐기물 제품 및 전해질. In 신장 질병, 이들 세포 can be damaged, leading to 손상된 신장 기능. Cistanche's 능력 to 촉진 the 재생 의 이들 세포 도움 복원 적절한 신장 기능 및 개선 전체 신장 건강.
In addition to these direct effects on the kidneys, cistanche has been found to have 유익한 효과 on other organs and systems in the body. this holistic approach to health is 특별히 important in kidney disease, as the condition often affects multiple organs and systems. che has been show to have protective effects on the liver, heart, and blood vessels, which are commonly affected by kidney disease. By 증진 the 건강 의 이들 장기, cistanche 도움 개선 전반 신장 기능 및 예방 추가 합병증.
In conclusion, cistanche is a traditional Chinese herbal medicine used for century to treat kidney disease. Its active components have 이뇨, 항산화, 항염증, immunomodulatory, and regenative effects, which help 개선 신장 기능 and protect the 신장 from further damage. , has 유익한 효과 on other organs and systems, making it a holistic approach to treating kidney disease.
