关键词: 无肝素化连续性肾脏替代治疗, 护理, 脑出血

Abstract: 【Abstract】〓Objective〓To evaluate on the effective nursing management and the effect of continuous renal replacement therapy (CRRT) with non-heparinization on the postoperative cerebral hemorrhage patients. Methods〓Fifty-eight patients underwent CRRT treatment were included in th study. Of then, 30 cases admitted from Jan 2012 to Jan 2014 were served as group A, which adding the soak time of the pipe piercing in heparin to 45 min, and using the improved method of flushing pipe with normal saline during the therapy period. Twenty-eight cases from January 2010 to December 2012 were as group B, in whom the routine clinic management of the CRRT without heparin were used. The filter service life and the change in coagulation function and platelet count were compared between two groups. Results〓The service life of filter in group A was longer than that in group B (P<0.05). No bleeding complication happened in all 58 patients. There were no differences in coagulation function and platelet count between two groups. Conclusion〓non-heparin CRRT treatment in postoperative cerebral hemorrhage patients is feasible and is helpful to prolong the filter working life, but need to increase the soaked time of piercing filter and use the improved method of flushing pipe.

Key words: Continuous renal replacement therapy with no heparinization, Nursing, Cerebral hemorrhage