李萍,微艳.1 例血栓性血小板减少性紫癜的局部枸橼酸抗凝血浆置换治疗的护理体会[J].上海护理,2024,24(S1):
1 例血栓性血小板减少性紫癜的局部枸橼酸抗凝血浆置换治疗的护理体会
Nursing care of a case of thrombotic thrombocytopenic purpura treated with anticoagulant plasma exchange with citrate
投稿时间:2023-08-03  修订日期:2023-08-14
DOI:
中文关键词:  血浆置换  局部枸橼酸抗凝  血栓性血小板减少性紫癜(TTP)  护理
英文关键词:
基金项目:
作者单位E-mail
李萍 上海交通大学附属仁济医院南院 liping_rjny@126.com 
微艳* 上海交通大学附属仁济医院南院 zhengweiyan@renji.com 
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中文摘要:
      总结1 例血栓性血小板减少性紫癜的局部枸橼酸抗凝血浆置换治疗的护理经验。护理要点包括:局部枸橼酸抗凝血浆置换的护理、动态监测治疗过程中体外循环及滤器凝血情况、出血/凝血的监测、监测血压、血管通路的护理、并发症的预防及护理。经过积极救治和护理,最终患者病情好转后出院。
英文摘要:
      To summarize the nursing experience of a case of thrombotic thrombocytopenic purpura treated with local citrate anticoagulation plasma replacement. Key points of care were as following.Nursing care of local citrate anticoagulation plasma replacement, dynamic monitoring of extracorporeal circulation and filter coagulation during treatment, monitoring of bleeding/coagulation, monitoring of blood pressure, care of vascular access, and prevention and care of complications. Through active treatment and care, the patient was finally discharged after improvement.
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