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Sodium citrate in vitro anticoagulation treatment - Cold Water Jiang People's Hospital Blood Purification Center opened a new chapter in treatment

author:Loudi News Network

Loudi News Network News Cold Water River People's Hospital Hemodialysis Center for many years, under the strong support of hospital leaders, has continued to grow and develop, especially in the past two years into a period of rapid development. The renewal of advanced instruments and equipment, avant-garde water treatment systems, the development of a variety of dialysis methods and so on. In addition, the department continues to send technical backbones out for further study, hires professional excellent lecturers to guide the work, comprehensively improves the level of medical services in the entire department, and wins the unanimous trust and praise of the majority of kidney friends. In loudi city and county-level hospitals, both the environment and technology are in the forefront.

It is reported that conventional blood purification treatment requires the use of heparin or low molecular weight heparin (anticoagulant) systemic anticoagulation, so that the blood in the external pipeline does not coagulate, and the treatment can be carried out and achieve the expected effect. However, systemic anticoagulation is prone to produce or aggravate serious adverse reactions such as bleeding, anaphylactic shock, and thrombocytopenia.

For dialysis patients with bleeding tendencies or critically ill patients with coagulation mechanism disorders, in the past, "heparin-free dialysis (no use of anticoagulant hemodialysis)", when treating, the cardiopulmonary bypass tube and dialyzer hollow fibers will attach a large number of blood formations, including platelets and coagulation factors, which will increase the risk of bleeding in patients, and susceptible to tubing and dialyzer coagulation, affecting the effect of dialysis. However, in recent years, studies have found that sodium citrate can be combined with calcium ions to play a local anticoagulant effect, and the blood in the body is transfused back to the body to release calcium ions through the three carboxylic acid circulation metabolism, maintaining the normal level of calcium ions in the body, so as to achieve in vitro anticoagulation without affecting the effect of the coagulation system in the body.

Therefore, under the active leadership of Director Xiao Pinglan, Chief Nurse Xie Jianzhi, and Deputy Chief Nurse You Siqiong, the Hemodialysis Center of Lengshuijiang People's Hospital has successfully performed in vitro anticoagulant hemodialysis treatment of sodium citrate for cerebral hemorrhage, fundus hemorrhage, and various postoperative patients, and the treatment effect is very ideal, which not only better ensures the safety of blood purification patients, but also improves the rescue success rate and efficacy of patients.

The development of this technology makes the blood purification technology more reasonable and fully applied to renal replacement treatment of patients with hemorrhagic diseases, high-risk bleeding patients, and patients with coagulation dysfunction. Breaking through this bottleneck, blood purification treatment is no longer limited by anticoagulant methods, increasing the survival rate of patients in the occurrence of the above complications, and improving the comprehensive treatment capacity of the hemodialysis center of Lengshuijiang People's Hospital.

With the active expansion of the business of the hemodialysis center of Lengshuijiang People's Hospital and the continuous improvement of the medical level, more and more patients with kidney disease choose to come to our hospital for diagnosis and treatment, which fully reflects the recognition of the diagnosis and treatment technology and service quality of the hemodialysis center of our hospital by the majority of kidney friends. Although this technology is more complicated and cumbersome than conventional hemodialysis operations, in line with the concept of treating patients as relatives and friends and putting the people first, the hemodialysis center will overcome difficulties, do better and more detailed work in the future, and wholeheartedly escort the health of the broad masses of people in Lengshuijiang City! (Correspondent Wang Qing)