›› 2009, Vol. 8 ›› Issue (5): 264-266.

• 人工肝 • 上一篇    下一篇

用HB-H-6树脂血浆灌流治疗重度黄疸临床研究

李 涛 杜 智 袁 萍 韩 涛 李 隽 方淑昌 骆力群   

  1. 天津市第三中心医院 天津市肝胆疾病研究所 卫生部人工细胞工程技术研究中心
  • 收稿日期:2008-12-12 修回日期:1900-01-01 出版日期:2009-05-12 发布日期:2009-05-12

Clinical study on plasma perfusion using HB-H-6 resin for the treatment of severe jaundice

LI Tao, DU Zhi, YUAN Ping, HAN Tao, LI Juan, FANG Shu-chang, LUO Li-qun.   

  1. ianjin Third Central Hospital, Tianjin Institute of Hepatobiliary Diseases, and Artificial Cell Engineering & Technology Research Center of National Ministry of Health
  • Received:2008-12-12 Revised:1900-01-01 Online:2009-05-12 Published:2009-05-12

摘要:

【摘要】 目的 观察HB-H-6树脂血浆灌流对重度黄疸的治疗效果。方法 重度黄疸患者61例,其中男性52例,女性9例,年龄44~71岁,平均55岁。均为急慢性肝功能衰竭、重型肝炎造成的肝细胞性黄疸。采用一次性使用的HB-H-6树脂吸附胆红素血浆灌流器进行治疗。分别于灌流前和灌流2h取血测定血浆胆红素、蛋白质、电解质和血常规,并观察病人血压、心率、呼吸和体温变化。结果 灌流至2h结束,病人血浆总胆红素下降29%,直接胆红素下降26%,间接胆红素下降31%(P<0.05);总蛋白下降7%,白蛋白下降9%,球蛋白下降4%(P<0.05);灌流对血浆电解质钾、钠、氯、钙、镁和磷均无明显影响(P>0.05)。灌流前后相比,白细胞升高2%,红细胞下降1%,血小板下降6%(P>0.05)。灌流过程中,患者血压、心率、呼吸和体温等均无明显变化。结论 HB-H-6树脂血浆灌流治疗重度黄疸是一种安全、有效的方法。

关键词: 血浆灌流器, 树脂, 黄疸

Abstract:

【Abstract】 Objective To observe the effect of HB-H-6 resin plasma perfusion in the treatment of severe jaundice. Methods Sixty-one patients (male 52 and female 9; 44-71 years of age with mean age of 55 years) with severe jaundice were enrolled in this study. They were diagnosed with hepatocellular jaundice caused by acute or chronic liver function failure or severe hepatitis. Patients were treated with HB-H-6 resin plasma perfusion unit. Plasma bilirubin, protein, electrolyte and blood routine examinations were assayed before perfusion and 2 hours after plasma perfusion. Blood pressure, heart rate, respiration and temperature were monitored regularly. Results Perfusion continued for 2 hours. After the perfusion, plasma total bilirubin decreased by 29 %, indirect bilirubin decreased by 26 %, direct bilirubin decreased by 31 % (P<0.05), plasma protein decreased by 7 %, albumin decreased by 9 %, and globulin decreased by 4 % (P<0.05), but without significant changes in serum K+, Na+, Ca2+, Mg2+ and Phosphate (P>0.05). After the perfusion, WBC increased by 2 %, RBC decreased by 1%, and platelet decreased by 6 % (P>0.05). During the perfusion, heart rate, blood pressure, respiration and body temperature remained stable. Conclusion Plasma perfusion with HB-H-6 resin is an effective and safe approach for the treatment of severe hepatocellular jaundice.

Key words: Resin, Jaundice

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