Regional citrate anticoagulation for hemodialysis in patients at risk for bleeding
- VernacularTitle:局部枸橼酸抗凝血液透析在高危出血患者中的应用
- Author:
Xiaobo CHEN
;
Yuanzhao XU
;
Lutan LIAO
- Publication Type:Journal Article
- Keywords:
Hemodialysis Bleeding Regional anbcoagulation Citrate
- From:
Chinese Journal of Nephrology
1997;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To solve the hemodialysis in patients at risk for bleeding. Methods A 1.6 mol/L trisodium citrate solution, a standard calcium-containing bicarbonate dialysate and a standard hollow fiber capillary dialyzer were used. Results 72 dialysis were performed successfully with this technique on 6 stable and 17 high bleeding risk patients. Systemic anticoagulation didn't occur as a result of any dialysis procedure, and in no instance bleeding was observed. No severe dialyzer clotting was observed. There was a significant decline in whole blood ionized calcium during citrate dialysis (0.981?0.11 vs 0.907 ?0.12 mmol/L, P
