中国小儿急救医学
中國小兒急救醫學
중국소인급구의학
CHINESE PEDIATRIC EMERGENCY MEDICINE
2012年
2期
118-120,127
,共4页
连续血液净化%安全%儿童
連續血液淨化%安全%兒童
련속혈액정화%안전%인동
Continuous blood purification%Security%Children
连续血液净化作为一种有效的治疗手段,在对危重患儿实施治疗时仍然存在各种危险因素,包括置管相关急性期并发症如出血、误穿动脉,治疗并发症如“吸壁”、导管感染、导管堵塞等;转流期并发症如低血压、低体温、凝血异常等;代谢并发症如丢失综合征、失衡综合征等.但在熟练掌握技术及操作方法的前提下,全程监控,及时纠治并发症和意外事件,其在儿科也可安全进行.
連續血液淨化作為一種有效的治療手段,在對危重患兒實施治療時仍然存在各種危險因素,包括置管相關急性期併髮癥如齣血、誤穿動脈,治療併髮癥如“吸壁”、導管感染、導管堵塞等;轉流期併髮癥如低血壓、低體溫、凝血異常等;代謝併髮癥如丟失綜閤徵、失衡綜閤徵等.但在熟練掌握技術及操作方法的前提下,全程鑑控,及時糾治併髮癥和意外事件,其在兒科也可安全進行.
련속혈액정화작위일충유효적치료수단,재대위중환인실시치료시잉연존재각충위험인소,포괄치관상관급성기병발증여출혈、오천동맥,치료병발증여“흡벽”、도관감염、도관도새등;전류기병발증여저혈압、저체온、응혈이상등;대사병발증여주실종합정、실형종합정등.단재숙련장악기술급조작방법적전제하,전정감공,급시규치병발증화의외사건,기재인과야가안전진행.
As a kind of effective treatment,continuous blood purification (CBP),still left some risk factors in critically ill children.The risk factors include catheter-related complications such as bleeding and mispractice at the acute phase,long-term complications such as catheter infections,tube jam;complications occurred in the process of CBP such as low blood pressure,hypothermia and abnormal coagulation;metabolic complications such as lost syndrome and imbalance syndrome.CBP should be implemented safely and effectively in pediatric field by mastering the skill proficiently,continuously monitoring vital signs,tackling complications and accidental episodes.