重症血液净化模式与剂量PPT.pptx

重症血液净化：QACritical Continuous Blood Purification重症医学科2017年11月backgroundbackgroundNephrologistIntensivistIntermittent HemodialysisContinuous Renal Replacement Therapybackground肾脏替代肾脏支持非肾脏疾病1970’s ……1980’s …2000’scontent1Modality：SCUFQf=5～15ml/hQb=100～250ml/hRemoval of water is done by UF No Substitution liquid is used Used mainly for CHF + Fluid Overload1Modality： DiffusionCVVHD1Modality：CVVHDQd=15～60ml/hQb=100～250ml/hThe principle ( clearances ) is Diffusion Eliminate mainly Small Molecules Net Fluid Removal is desired Used of Sterile Dialysate Solution1Modality：Convection1Modality：CVVHF ～ H