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目的:总结血浆置换治疗重型肝炎操作经验及护理观察要点。方法:通过对257例次人工肝血浆置换操作观察,总结此项护理经验。结果:257例次血浆置换均顺利完成,术中无1例因凝血而更换血浆分离器及管路,术后无与此项操作相关的出血现象发生。结论:充分的术前准备及熟练的操作技能,严密的术中观察及精心的术后护理是血浆置换顺利完成的保证。
Objective: To summarize the experience of plasma exchange in the treatment of severe hepatitis and points of nursing observation. Methods: Through 257 cases of artificial liver plasma exchange operation observation, summarize the nursing experience. Results: All the 257 cases of plasma exchange were successfully completed. None of the patients underwent replacement of plasma separator and tubing due to coagulation during the operation. No postoperative bleeding related to this procedure occurred. Conclusion: Adequate preoperative preparation and skilled operation skills, rigorous intraoperative observation and careful postoperative care are the guarantees of successful completion of plasma exchange.