CAJ | 학술논문

血液透析是治疗急性及慢性肾衰竭的有效方法之一，目前已经得到迅速、广泛的开展，但血液透析本身是体外循环的过程，使用常规肝素法进行抗凝是进行有效血透的基本保障，所以，血透过程中使用肝素抗凝是非常关键的，但同时也存在着许多不良的反应。尤其对一些有出血倾向、手术后恢复期、女性月经期等患者更要慎重使用。本研究为了达到在血液透析中保证有效抗凝时间及减少肝素的副作用，我们应用超小剂量肝素法完成血液透析治疗95例患者560人次，取得较好的效果。
혈액투석시치료급성급만성신쇠갈적유효방법지일，목전이경득도신속、엄범적개전，단혈액투석본신시체외순배적과정，사용상규간소법진행항응시진행유효혈투적기본보장，소이，혈투과정중사용간소항응시비상관건적，단동시야존재착허다불량적반응。우기대일사유출혈경향、수술후회복기、녀성월경기등환자경요신중사용。본연구위료체도재혈액투석중보증유효항응시간급감소간소적부작용，아문응용초소제량간소법완성혈액투석치료95례환자560인차，취득교호적효과。
Hemodialysis is one of effective methods in treatment of acute and chronic renal failure, and has been rapidly, widely carried out, but the blood dialysis itself is a process of extracorporeal circulation, is the basic guarantee for anticoagulation, effective hemodialysis using conventional heparin is so, the use of heparin during hemodialysis is the key, but there are also many adverse reaction. Especial y for some bleeding tendency after operation, recovery period, the menstrual period, patients should be used careful y. In this study, in order to ensure effective anticoagulant time and reduce the side effects of heparin in hemodialysis patients, we applied the ultra low dose heparin hemodialysis treatment was completed in 95 patients with 560 passengers, and achieved good effect.