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目的探讨体外循环处理透析器首次使用综合征(FUS)的效果。方法将本中心2014年4月-2016年4月,对发生FUS经吸氧、减慢血流量等处理后,症状仍不缓解的23例次患者,采取停止血液回输,将透析器和管道里的血液在体外循环30min,之后逐渐增加血流量,重新开始血液透析治疗。结果 21例患者经体外循环后自觉症状逐渐缓解,并继续透析治疗;1例患者体外循环后症状仍持续,经肾上腺皮质激素、抗组胺药等处理后,症状缓解重新开始治疗;1例患者经体外循环症状缓解后重新开始治疗,再次出现FUS临床症状。结论运用体外血液循环的处理方法能减轻FUS,减少患者损伤及经济损失。
Objective To investigate the effect of cardiopulmonary bypass on first use of dialyzer (FUS). Methods The center from April 2014 to April 2016, the occurrence of FUS by oxygen, slowing blood flow and other treatment, the symptoms are still not resolved in 23 cases of patients, to stop the blood transfusion, the dialyzer and the pipeline The blood in the cardiopulmonary bypass 30min, then gradually increase the blood flow, resumption of hemodialysis treatment. Results The symptoms of 21 patients were relieved gradually after cardiopulmonary bypass and the dialysis was continued. One patient continued symptoms after cardiopulmonary bypass, and the symptoms were relieved after adrenal cortical hormone and antihistamine treatment. One patient After remission of symptoms after cardiopulmonary bypass to resume treatment, again FUS clinical symptoms. Conclusion The use of extracorporeal blood circulation can reduce FUS, reduce the patient’s injury and economic losses.