Blood filtering replacement liquid prescription special for anti congealing
A technology of replacement fluid and hemofiltration, which is applied in the composition and preparation of hemofiltration replacement fluid for anticoagulation, and the composition and preparation of hemofiltration replacement fluid for citrate anticoagulation, which can solve the problems of fever, hemodynamics Instability, unclean pipeline equipment and other problems
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Embodiment 1
[0453] Example 1 Typical Case 1
[0454] Patient Wang, a car accident caused multiple injuries, and acute renal failure was caused by hypotension. Due to the patient's renal failure and anuria, antibiotics, fluid supplementation and intravenous nutrition were needed at the same time. A large amount of fluids needed to be supplemented every day, and toxins in the patient's body also needed to be removed Therefore, continuous renal replacement (support) treatment is used. Since the patient has multiple injuries, many surgical wound sites, and many bleeding / oozing sites, if unfractionated heparin or low molecular weight heparin is used, it may cause severe bleeding, so citrate replacement is used. Anticoagulant fluid, the patient was treated with the pre-dilution method, the flow rate of the dialysate was 1000ml / h, and the flow rate of the replacement fluid was 2000ml / h. The treatment continued for 24 hours, a total of 5 times. After 10 days, the patient gradually increased urine ...
Embodiment 2
[0455] Embodiment 2 typical case 2
[0456] Patient Li, with chronic renal failure and maintenance hemodialysis for 5 years, was admitted to the hospital due to cerebral hemorrhage. Due to a variety of conditions, the patient could not perform peritoneal dialysis. Later, the patient was complicated by pulmonary infection, high fever, unstable blood pressure, etc., and the patient needed daily dehydration ultrafiltration treatment to improve cerebral edema and promote nerve cell recovery. Acute hemodialysis is difficult to remove excess water in the patient's body in a short period of time, and it is easy to cause the patient's intracranial pressure to be unstable or even increased. Therefore, continuous venous venous hemodiafiltration treatment was chosen, and only heparin-free dialysis could be used. In this group, 2000ml / h of citric acid replacement solution was used, and the pre-replacement method was adopted. The dialysate was 1500ml / h, and each continuous treatment 20 to...
Embodiment 3
[0457] Embodiment 3 typical case 3
[0458] The patient had severe pancreatitis, respiratory dysfunction, systemic inflammatory response syndrome state, decreased urine output, mildly elevated muscle and liver, fever, significantly increased blood count, and complicated abdominal and gastrointestinal bleeding, and abdominal necrotic tissue was cleaned up Surgery, fresh surgical wound. In this group, 2000-4000ml / h of citric acid replacement fluid was adopted, and the pre-replacement method was adopted. The dialysate was 1000-1500ml / h, and the continuous treatment was 18-24 hours each time. The treatment method was adjusted according to the patient's electrolyte examination and blood gas conditions, including Replacement fluid volume, treatment time and volume of supplemented calcium gluconate. After nearly 1 month of treatment, the patient improved significantly. Later, he died due to repeated abdominal bleeding, multiple surgeries, aggravated renal failure, and infection com...
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