持续肾脏替代治疗局部枸橼酸抗凝.pptxVIP

持续肾脏替代治疗的局部枸橼酸抗凝 重症医学科 杨和平 急性肾功能衰竭的定义: RIFLE标准 GFR标准 UO标准 Risk 肌酐增加x 1.5或GFR降低 25% UO 0.5 ml/kg/hr x 6 hr Injury 肌酐增加x 2或GFR降低 50% UO 0.5 ml/kg/hr x 12 hr Failure 肌酐增加x 3或GFR降低 75% UO 0.3 ml/kg/hr x 24 hr 或无尿x 12 hr Loss 持续ARF = 肾脏功能完全丧失 4周 ESRD 终末期肾病 3月 Bellomo R, Ronco C, Kellum JA, et al. Acute renal failure: definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care 2004; 8: R204-R212 ICU的急性肾脏损伤(AKI) Ostermann M, Chang RWS. Acute kidney injury