·364·中国血液净化2023年5月第22卷第5期Chin I B1 ood Purif.May.2023.Vol.22.No.05·专家共识·组合式血液灌流联合血液透析治疗专科护理操作专家共识中华护理学会血液净化专业套员会（执笔：马志芳1向品'夏京华2肖光挥3将霞·沈华拥何姗陈静？童挥高莉林”岳晓红矫健梅”朱晗玉)【摘要】组合式血液灌流(hemoperfusion,HP)联合血液透析hemodialysis,HD)(组合型人工肾)在终末期肾病(end-stage kidney disease,ESD)治疗中的应用越来越普遍。临床护理人员对组合型人工肾专科护理操作产生了迫切需求。中华护理学会血液净化专业委员会专家组参考国内外文献，结合临床应用实践经验，从管路选择、灌流器肝素化、预冲流程、引血操作、回血操作、观察与处理、压力监测7个方面制定了《组合式血液灌流联合血液透析治疗专科护理操作专家共识》。本共识是我国首个指导组合型人工肾治疗护理操作的专家共识，旨在为临床护理人员实施组合型人工肾治疗护理操作提供有价值的参考。【关键词】血液灌流：血液透析：组合型人工肾：护理操作：一体化管路中图分类号：R473文献标识码：Adoi:10.3969/j.issn.1671-4091.2023.05.010Expert consensus on the specialized nursing operation of hemoperfusion combined with hemodialysisBlood Purification Committee of Chinese Nursing Association (This consensus was written by MA Zhi-fang'.XIANG Jing'.XIA Jing-hur.XIAO Guang-hut.FU Xid.SHEN Hua-juan'.HE Shanf.CHEN Jing'.TONGHut.GAO Ju-lin'.YUE Xiao-hong".JIAO Jian-mei".ZHU Han-yu)Blood Purification Center:ChinesePLA General Hospital.Beijing 100835,China:'Blood Purification Center.Peking Union Medical CollegeHospital.Beijing 100730.China:'Blood Purification Center.Beijing Haidian Hospital.Beijing 100080.Chi-na;'Department of Nursing.The Eighth Affiliated Hospital of Sun Yat-sen University:Shenchen 518000.Chi-na:'Department of Nursing.Zhejiang Provincial People's Hospital.Hangzhou 310000.China:'Blood Purifi-cation Center.Gui-hou Provincial People's Hospital.Gutyang 550000.China:'Blood Purification Center.The Second Affiliated Hospital of Navy Military Medical Untversity:Shanghai 200003.China:'Blood Purifi-cation Center,Tongji Hospital,Tongji Medical College,Huazhong Untversity ofScience and Technology,Wu-han 430030.China:'Blood Purification Center.The First Affliated Hospital of Xi'an Jiaotong University:Xi'an 710069.China:"Blood Purification Center.The First Affiliated Hospital of Zhengzhou University:Zhengzhou 450052.China:"Blood Purification Center.The Second Affiliated Hospital of Harbin Medical Uni-versity,Harbin 150000,ChinaCorresponding author:ZHU Han-yu.Email:kidney301@126.com[Abstract Combined hemoperfusion (HP)and hemodialysis (HD)(combined artificial kidney)is in-creasingly used for the treatment of end-stage renal disease (ESRD).Clinical nursing staff have an urgentneed for the specialized nursing operation of combined artificial kidney.The expert group of the Blood Purifi-cation Professional Committee of the Chinese Nursing Association,referring to the domestic and foreign liter-ature and combining the clinical application experience,has formulated the "Expert Consensus on Special ized作者单位：100835北京，'中国人民解放军总医院血液净化中心100730北京，2北京协和医院血液净化中心100080北京，3北京市海淀医院血液净化中心518000深圳，中山大学附属第八医院护理部310000杭州，浙江省人民医院护理部550000贵阳，贵州省人民医院血液净化中心200003上海，海军军医大学第二附属医院血液净化中心430030武汉，华中科技大学同济医学院附属同济医院血液净化中心710069西安，西安交通大学第一附属医院血液净化中心450052郑州，郑州大学第一附属医院血液净化中心150000哈尔滨，“哈尔滨医科大学附属第二医院血液净化中心通讯作者：朱晗玉100835北京，'中国人民解放军总医院血液净化中心Eai1:kidney301@126.co■
