中国血液净化 ›› 2017, Vol. 16 ›› Issue (05): 347-349.doi: 10.3969/j.issn.1671-4091.2017.05.017

• 血液净化中心管理 • 上一篇    下一篇

血液透析,医护人员安全的法律问题思考

贾强   

  1. 首都医科大学宣武医院肾内科
  • 收稿日期:2017-02-06 修回日期:2017-03-30 出版日期:2017-05-12 发布日期:2017-05-19
  • 通讯作者: 贾强 E-mail:2008_happyqiang@sina.com

Legal issue and consideration about the safety of medical staffs working for hemodialysis

  • Received:2017-02-06 Revised:2017-03-30 Online:2017-05-12 Published:2017-05-19
  • Contact: qiang jia E-mail:2008_happyqiang@sina.com

摘要: 血液透析(Hemodilysis,HD)技术的发展与进步给慢性肾衰竭(Chronic renal failure,CRF)患者带来了继续生存的机会。但是,由于接受HD 治疗的患者大多病情复杂、严重、易变,且在HD 过程中,要把患者的血液引出体外进行循环并使用抗凝剂,HD 技术本身也仍然存在着众多未知,给医疗、护理工作带来了一定的安全隐患和纠纷风险。因此,必须要有相关法律制度的保障和相关诊疗护理规范的落实,患者及家属对疾病和HD 技术的认知,以及医患之间的互相理解,才能确保HD 患者和医护人员的自身安全。作者着重就上述问题详述了自己的认识、做法、体会和期盼。

关键词: 血液透析, 医护安全, 法律问题

Abstract: The development of hemodialysis technology increases the survival opportunity for patients with chronic renal failure. However, the diseases in most hemodialysis patients are complicated, serious and variable. During hemodialysis, blood has to be taken out from the body and mixed with anticoagulant for extracorporeal circulation. The hemodialysis technology is not perfect yet, leading to many safety problems and unknown risks to the medical and nursing workers. In order to secure the safety of the patients and hospital workers, regulations based on related laws, standards of medical and nursing protocols, education to the patients and their relatives about the disease, the benefits and risks from hemodialysis, and mutual understanding between patients and medical staffs must be established. The author focuses on these issues based on his own understanding, experience and expectations.

Key words: hemodialysis, medical safety, legal issue