中国血液净化

中国血液净化 ›› 2023, Vol. 22 ›› Issue (05): 364-368,380.doi: 10.3969/j.issn.1671-4091.2023.05.010

• 专家共识 • 上一篇    下一篇

组合式血液灌流联合血液透析治疗专科护理操作专家共识

中华护理学会血液净化专业委员会(执笔：马志芳   向 晶   夏京华   肖光辉    符 霞   沈华娟   何 珊     陈 静    童 辉    高菊林   岳晓红   矫健梅   朱晗玉)   

  1. 100835 北京，1中国人民解放军总医院血液净化中心
    100730 北京，2北京协和医院血液净化中心
    100080 北京，3北京市海淀医院血液净化中心
    518000 深圳，4中山大学附属第八医院护理部
    310000 杭州，5浙江省人民医院护理部
    550000 贵阳，6贵州省人民医院血液净化中心
    200003 上海，7海军军医大学第二附属医院血液净化中心
    430030 武汉，8华中科技大学同济医学院附属同济医院血液净化中心
    710069 西安，9西安交通大学第一附属医院血液净化中心
    450052 郑州，10郑州大学第一附属医院血液净化中心
    150000 哈尔滨，11哈尔滨医科大学附属第二医院血液净化中心
  • 收稿日期:2023-01-25 修回日期:2023-02-15 出版日期:2023-05-12 发布日期:2023-05-12
  • 通讯作者: 朱晗玉 E-mail:kidney301@126.com

Expert consensus on the specialized nursing operation of hemoperfusion combined with hemodialysis

Blood Purification Committee of Chinese Nursing Association (This consensus was written by MA Zhi-fang, XIANG Jing, XIA Jing-hua, XIAO Guang-hui, FU Xia, SHEN Hua-juan, HE Shan, CHEN Jing, TONG Hui, GAO Ju-lin, YUE Xiao-hong, JIAO Jian-mei, ZHU Han-yu)   

  1. Blood Purification Center, Chinese PLA General Hospital, Beijing 100835, China; 2Blood Purification Center, Peking Union Medical College Hospital, Beijing 100730, China; 3Blood Purification Center, Beijing Haidian Hospital, Beijing 100080, China; 4Department of Nursing, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen 518000, China; 5Department of Nursing, Zhejiang Provincial People's Hospital, Hangzhou 310000, China; 6Blood Purification Center, Guizhou Provincial People's Hospital, Guiyang 550000, China; 7Blood Purification Center, The Second Affiliated Hospital of Navy Military Medical University, Shanghai 200003, China; 8Blood Purification Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China; 9Blood Purification Center, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710069, China; 10Blood Purification Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China; 11Blood Purification Center, The Second Affiliated Hospital of Harbin Medical University, Harbin 150000, China
  • Received:2023-01-25 Revised:2023-02-15 Online:2023-05-12 Published:2023-05-12
  • Contact: 100835 北京，1中国人民解放军总医院血液净化中心 E-mail:kidney301@126.com

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摘要： 组合式血液灌流(hemoperfusion,HP)联合血液透析(hemodialysis,HD)(组合型人工肾)在终末期肾病(end-stage kidney disease，ESRD)治疗中的应用越来越普遍。临床护理人员对组合型人工肾专科护理操作产生了迫切需求。中华护理学会血液净化专业委员会专家组参考国内外文献，结合临床应用实践经验，从管路选择、灌流器肝素化、预冲流程、引血操作、回血操作、观察与处理、压力监测7个方面制定了《组合式血液灌流联合血液透析治疗专科护理操作专家共识》。本共识是我国首个指导组合型人工肾治疗护理操作的专家共识，旨在为临床护理人员实施组合型人工肾治疗护理操作提供有价值的参考。

关键词: 血液灌流, 血液透析, 组合型人工肾, 护理操作, 一体化管路

Abstract: Combined hemoperfusion (HP) and hemodialysis (HD) (combined artificial kidney) is increasingly used for the treatment of end-stage renal disease (ESRD). Clinical nursing staff have an urgent need for the specialized nursing operation of combined artificial kidney. The expert group of the Blood Purification Professional Committee of the Chinese Nursing Association, referring to the domestic and foreign literature and combining the clinical application experience, has formulated the “Expert Consensus on Specialized Nursing Operation of Hemoperfusion Combined with Hemodialysis” that contains seven aspects: pipeline selection, heparinization of hemoperfusion, pre-flushing process, blood transfusion operation, blood return operation, observation and treatment, and pressure monitoring. This is the first expert consensus to guide the combined artificial kidney treatment and nursing operation in China, in order to provide a valuable reference for clinical nursing staff to implement the nursing operation of combined artificial kidney treatment.

Key words: Hemoperfusion, Hemodialysis, Combined artificial kidney, Nursing operation, Integrated pipeline

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