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器官移植相关的血液净化技术规范(2019版)

中华医学会器官移植学分会

中华医学会器官移植学分会. 器官移植相关的血液净化技术规范(2019版)[J]. 器官移植, 2020, 11(2): 208-221. doi: 10.3969/j.issn.1674-7445.2020.02.006
引用本文: 中华医学会器官移植学分会. 器官移植相关的血液净化技术规范(2019版)[J]. 器官移植, 2020, 11(2): 208-221. doi: 10.3969/j.issn.1674-7445.2020.02.006
Branch of Organ Transplantation of Chinese Medical Association. Technical specification of blood purification in organ transplantation (2019 edition)[J]. ORGAN TRANSPLANTATION, 2020, 11(2): 208-221. doi: 10.3969/j.issn.1674-7445.2020.02.006
Citation: Branch of Organ Transplantation of Chinese Medical Association. Technical specification of blood purification in organ transplantation (2019 edition)[J]. ORGAN TRANSPLANTATION, 2020, 11(2): 208-221. doi: 10.3969/j.issn.1674-7445.2020.02.006

器官移植相关的血液净化技术规范(2019版)

doi: 10.3969/j.issn.1674-7445.2020.02.006
基金项目: 

国家自然科学基金 81570680

国家自然科学基金 81571555

国家自然科学基金 81970640

详细信息
    通讯作者:

    朱有华,男,1952年生,主任医师,教授,研究方向为器官保存和临床肾移植相关研究,Email:zhuyouhua@126.com

  • 中图分类号: R617, R692.5

Technical specification of blood purification in organ transplantation (2019 edition)

More Information
  • 摘要: 为了进一步规范器官移植相关血液净化的临床技术操作,中华医学会器官移植学分会组织器官移植学专家和肾内科专家从血管通路、血液透析、腹膜透析、血液滤过、血浆置换和免疫吸附的技术操作规范等方面,制订本规范。

     

  • 图  1  血液滤过的操作流程

    Figure  1.  Operation procedure of hemofiltration

    表  1  3种经皮中心静脉穿刺插管方法的特点比较[6]

    Table  1.   Comparison of characteristics of percutaneous central veinpuncture catheterization among three methods

    特点 股静脉 锁骨下静脉 颈内静脉
    操作技术 容易插管 需要较高的技术和经验 比锁骨下静脉插管容易
    穿刺并发症 并发症少,而且轻 可能发生严重并发症,如血气胸 并发症发生率较低
    保留时间 一般72 h拔除,否则感染率很高 可保留3~4周 可保留3~4周或更久
    体位 心力衰竭呼吸困难者不能平卧时采用 需要头后仰体位 需要头后仰体位
    活动情况 置管后,患者常卧床,不方便行走 患者可以自由活动,可做门诊透析 头颈部运动可受限,用弯头导管可以改善
    血流情况 可以获得较好血流,常与大腿位置有明显关系 可获得很好血流 可以获得很好血流
    留置并发症 缺少长期保留导管的临床观察经验(通常短期内拔管),血栓发生率和不畅率很高 锁骨下静脉血栓和狭窄发生率高 狭窄发生率很低,血栓发生率同锁骨下静脉
    下载: 导出CSV
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出版历程
  • 收稿日期:  2019-12-30
  • 网络出版日期:  2021-01-19
  • 刊出日期:  2020-03-15

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