胆红素吸附术在重症肝炎患者治疗中的应用和护理

重症肝炎是肝炎中最严重的类型，其发病急、发展快、黄疸急剧加深和肝脏迅速缩小，主要临床表现有肝臭、出血、肝性脑病及肝肾综合征等。

Effects ofSBilirubin AdsorptionSin Treatment of Hyperbilirubinemia.Yanju Tao, Bihong Huang, Li Yuan, Junfeng Liu

Objective. To evaluate the clinical utility effectiveness and nursing characteristic of Bilirubin Adsorption (BA) in serious hepatitis with Hyperbilirubinemia.Methods. Thirsty-six patients with hyperbilirubinemia during 2011.1 to 2013.12 in our hospital were recruited to our study. They were treated by the machine KM8900 of Kuraray, the therapy plasma volume was 40ml/kg, therapy time was 2-3 hours, and one treating course was 2-3 times. Psychological counseling, full preparation, nursing care of venous catheter and observation of vital signs were provided during the treatment. Laboratory tests were measured both before and after BA. Results. All the patients were well tolerated during the whole treatment of bilirubin adsorption. A sharp decrease of serum total bilirubin concentration was observed after treatment. ALT and blood ammonia also declined obviously and clinical symptoms were improved in different degrees. The vital signs were stable and no change was found in all the laboratory indexes after treatment.Conclustions. BA was an effective and safe treatment for hyperbilirubinemia due to its high clearance of bilirubin and little side effect on vital signs and inner environment.