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国产低分子肝素钙用于血液透析的抗凝作用
引用本文:卞维静,谭昭,赵丽.国产低分子肝素钙用于血液透析的抗凝作用[J].中日友好医院学报,1999,13(1):33-36.
作者姓名:卞维静  谭昭  赵丽
作者单位:友好血液净化中心
摘    要:目的:验证国产低分子肝素钙(立迈青)用于血液透析(血透)抗凝的疗效和安全性。方法:15例患者作自身前后交叉对照观察,每例患者各使用立迈青或法安明(低分子肝素钠)进行血透5次,于血透开始时静脉推注立迈青或法安明5000抗FXaIU,不用维持量。结果:2组患者顺利完成血透各75例次;透析器容量(BCV)减少率、透析1h尿素即刻清除率、白陶土部分凝血活酶时间、血小板及抗FXa活性等2组间均无显著性差异(P>005)。结论:立迈青作为血透抗凝剂的疗效和安全性与法安明一致。

关 键 词:肾功能衰竭.慢性  低分子肝素  血液透析

LOW MOLECULAR WEIGHT HEPARIN HOME MADE FOR ANTICOAGULATION DURING HEMODIALYSIS(HD)
Bian Weijing,Tan Zhao,Zhao Li,et al.LOW MOLECULAR WEIGHT HEPARIN HOME MADE FOR ANTICOAGULATION DURING HEMODIALYSIS(HD)[J].Journal of China-Japan Friendship Hospital,1999,13(1):33-36.
Authors:Bian Weijing  Tan Zhao  Zhao Li  et al
Institution:Friendship Center of Blood Purification
Abstract:Objective:To compare the efficacy and safety of home made low molecular weight heparin(Livaracine) with that of Fragmin.Methods:Fifteen hemodialysis patients were studied in a radomized crossover fashion.All patients were randomized into Livaracine and Fragmin in five times HD.Livaracine or Fragmin was given at the initiation of hemodialysis in a single bolus dose of 5 000 anti FXa IU without maintanent dose.Results:Seventy five dialysis procedures with either Livaracine or Fragmin were performed successfully;blood compartment volume of dialyzers,1 hour clearance of urea,activated partial thromboplastin time,blood platelets count,anti FXa levels were comparable between these two groups( P >0 05).Conclusion:Livaracine was effective and safe like as Fragmin.
Keywords:kidney  failure  chronic  low  molecular  weight      heparin  hemodialysis  
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