Heparin-induced thrombocytopenia and hemofiltration:: Regional anticoagulation with sodium citrate

被引：0

作者：

Künstle, T ^{[1
]}

Maulhardt, S ^{[1
]}

Grünberger, M ^{[1
]}

Rothe, KF ^{[1
]}

机构：

[1] Stadt Krankenhaus Dresden Friedrichstadt, Klin Anasthesiol & Intens Therapie, Stadt Klinikum, D-01067 Dresden, Germany

来源：

ANASTHESIOLOGIE INTENSIVMEDIZIN NOTFALLMEDIZIN SCHMERZTHERAPIE | 2000年 / 35卷 / 02期

关键词：

heparin-induced thrombocytopenia; regional anticoagulation; sodium citrate; hemofiltration;

D O I：

暂无

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The symptoms, diagnosis, and therapy for a septic patient with acute renal failure on continuous hemofiltration and heparin-anticoagulation who developed heparin-induced thrombocytopenia type II are described. Different alternatives for anticoagulation of extracorporal circulation are discussed. The principles of anticoagulation with sodium citrate are presented. It is necessary to closely monitor and, if need be, correct the serum calcium levels and acid base metabolism. We show that regional anticoagulation with sodium citrate is an effective and safe treatment.

引用

页码：115 / 118

页数：4

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