持续血液净化从肾脏替代到多脏器功能支持的演变_培训课件.pptVIP

* 可随时清除过多的液体 * 可随时清除过多的液体 * 可随时清除过多的液体 * 可随时清除过多的液体 -Landmark study by Ronco in a single-centre randomised trial: survival at 15 days was improved by increasing CRRT dose from 20 to 35 ml/Kg/hr -Concern about this study: Unblined single-centre, took 5-years to complete Sepsis contribute to 15% vs 50-60% incidence worldwide Cost assoc with intensifying the therapy and it is post-dilution technique Small sample size ( 425 patients) * * 可随时清除过多的液体 Very high volues are difficult to maintain over 24 hours Solute kinetics may render high volme useless after few hours Standard CVVH may contribute to