CAJ | 학술논문

目的分析研究高危出血患者采用无肝素血液透析的临床效果。方法抽取2011年1月~2013年8月在我院收治的患有急慢性肾功能衰竭患者30例，采取随机抽取模式，随机分为实验组和对照组，每组各15例。对照组对患者采取低分子肝素抗凝治疗，实验组对患者采取无肝素血液透析治疗，对两组临床透析效果给予对比分析。结果实验组患者出血得到有效控制，其临床症状得到显著改善，实验组BUN清除率、超滤总量以及透析器残余容量明显优于对照组，两组间差异具有统计学意义(<0.05)。结论对高危出血采用无肝素血液透析治疗，可以获得明显的临床效果，具有临床推广价值。
목적분석연구고위출혈환자채용무간소혈액투석적림상효과。방법추취2011년1월~2013년8월재아원수치적환유급만성신공능쇠갈환자30례，채취수궤추취모식，수궤분위실험조화대조조，매조각15례。대조조대환자채취저분자간소항응치료，실험조대환자채취무간소혈액투석치료，대량조림상투석효과급여대비분석。결과실험조환자출혈득도유효공제，기림상증상득도현저개선，실험조BUN청제솔、초려총량이급투석기잔여용량명현우우대조조，량조간차이구유통계학의의(<0.05)。결론대고위출혈채용무간소혈액투석치료，가이획득명현적림상효과，구유림상추엄개치。
Objective To analyze the clinical ef ect of treating high risk hemorrhage with hemodialysis without heparin. Methods Choosed 30 patients with acute or chronic renal failurefrom Jan.2011 to Aug.2013 to divide into study group and control ed group.Patients in control ed group were treated with low molecular weight heparin anticoagulation therapy,and the study group were treated with hemodialysis without heparin,compared the ef ect of these two groups.Results The hemorrhage was ef ectively controlled and the clinical symptoms weresignificantly improved in study group.The clearance rate of BUN,the ultrafiltration quantity and the residual volumes of dialyser were al significantly bet er than control ed group( <0.05).Conclusion Treating high risk hemorrhage with hemodialysis without heparin is ef ective to improve the treatment ef ect,safe and worth to extend in clinic.