The blood lipids are more than 10 times the normal value, and the double -heavily plasma replacement scrapes the "butter" to restore a life
Author:Changjiang Daily Time:2022.06.18
The Yangtze River Daily Da Wuhan client June 17th. Normal people's plasma is pale yellow and transparent, similar to olive oil. People are shocking. In the early morning of June 17, the Department of Critical Medicine of the People's Hospital of Huangpi District conducted a double -heavier plasma replacement for Ms. Zhao. It took 3 hours to remove the excess blood lipids in her blood, which blocked the progress of hyperlipidemia to increase pancreatitis. Ms. Zhao got out of danger. This is the first dual -heavily plasma replacement therapy carried out by Huangpi District, which fills the blank of the technology of Huangpi District, marking a new breakthrough in the hospital's discipline construction and medical technology.
Two days ago, Ms. Zhao came to the emergency surgery of the People's Hospital of Huangpi District due to abdominal pain and abdominal distension. After the inspection physician centrics the blood specimen sent by Ms. Zhao, she found that the specimen was severe crooa blood. She highly suspected that Ms. Zhao had hyperlipidemia, and immediately contacted the doctor on duty to re -draw the blood specimen for the examination. The results reminded that patients with 23mmol/L of triglyceride (normal range 0.4 ~ 2.25mmol/L) are more than 10 times higher than normal people. Multi -organ dysfunction will be faced at any time. The emergency CT results also indicate to acute pancreatitis.
Huangpi District People's Hospital carried out the first dual -heavily plasma replacement. Correspondent Duan Jinyan Photo
Hyperlipidemia is an independent risk factors that cause acute pancremitis to the dangerous progress or even death. If the patient's condition is not corrected in time, the patient's condition will increase or even die in a short period of time, and the effect of ordinary lipid reduction is not good. Luo Yong, the director of the Department of Critical Medicine of the hospital, carefully evaluated the patient's condition, discussed the treatment plan with the department doctor, and decided to perform the most advanced and most complicated blood purification technology (DFPP) for the patient. Important effective treatment methods for diseases. Although this is the first time that the dual -heavily plasma replacement technology has been carried out, the Department of severe medical medicine of the hospital has carried out blood purification treatment beside the bed for many years, and has rich clinical experience in the treatment of various treatment modes and complications of blood purification. This is the department. The successful development of double -heavily plasma replacement laid a solid foundation.
Fresh plasma. Correspondent Duan Jinyan Photo
After the treatment of anticoagulation, dose, pipeline connection, the flow rate setting of plasma separats at all levels, preparing for plasma replacement, and the treatment of complications, etc. After the materials preparation and emergency plans for various links, Director Ding Qun, the office of the consumable office, actively introduces the required consumables for temporary introduction of special supporting consumables to open green channels, and everything is ready. After 3 hours of treatment for the patient, only 600ml of plasma was replaced, and the patient trigema triglyceride was successfully reduced to the normal range (1.43mmol/L).
The replacement of abandoned plasma. Correspondent Duan Jinyan Photo
Luo Yong, director of the Department of Critical Medicine of the People's Hospital of Huangpi District, introduced that the so -called dual -heavily plasma replacement is a secondary separation of the separated plasma on the basis of single heavily plasma replacement. After removing the pathogenic substances Inside the body, the purpose of treating diseases and significantly reduced plasma replacement. The biggest problem with single -weight plasma replacement is that a large amount of fresh plasma or blood alternatives requires at least 2000 to 3000 ml of plasma, 5 to 7 bottles of albumin, and the cost cost is high. Due to the tension of blood resources, it is difficult for this technology to be widely developed clinically. Double -heavily plasma replacement technology has solved this problem well. At the same time, due to the reduction of exogenous plasma, the risk of blood infection and allergies is reduced, and the operation is safer.
For patients. Correspondent Duan Jinyan Photo
It is understood that, in addition to the basic hematological purification technologies such as blood irrigation and hemodialysis filtering, the Department of severe medical medicine of the hospital also actively develops plasma separation -plasma adsorption, plasma separation — dual plasma adsorption, plasma replacement and other complex hematological purification technologies. New technologies have successfully saved the lives of many patients with acute and critical illnesses. With the successful application of dual -heavily plasma replacement technology in the Huangpi area, various hazardous pesticides, drug poisoning, hyperlipidemia, hyperbilotin ledmia, thrombocytopenic purpura, severe muscle weakness and other critical condition are provided. It has more diversified and more effective treatment methods. At the same time, it brings new opportunities for the treatment of patients with crisis, reduce the economic pressure of patients, reduce the use of plasma, and move towards a new level in the treatment of critical patients. (Changjiang Daily reporter Liu Yue correspondent Liu Zhihua Duan Jinyan)
[Edit: Yu Lina]
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