课件：CRR的概念与ICU应用.ppt

* * 对流Convection Red Blood Cell Bicarbonate Creatinine Chlorure Potassium Urea Positive Pressure Blood Membrane Filtrate Convection 溶质伴随水流清除，是依靠压力梯度的溶质拖拽 适于清除大分子物质 血流速度越快，溶质清除效果越好 置换液必须是无菌的符合生理的 吸附Adsorption Red Blood cell Creatinine Chlorure Potassium Urea Sang Membrane Filtrate Inflammatory Mediators THANK YOU SUCCESS * * 可编辑 * SCUF CVVH CVVHD CVVHDF CRRT治疗方式 Access Return Effluent Replacement (pre or post dilution) Access Return Effluent Access Return Effluent Dialysate Replacement (pre orpost dilution) I Access Return Effluent Dialysate Continuous Renal Replacement Therapies SCUF C A V H C VV H C A V HD C VV HD C VV HDF SPONTANEOUS Blood Circulation PUMPED Blood Circulation HEMOFILTRATION CONVECTION HEMODIALYSIS DIFFUSION HVHF Removal of water is done by UF No Substitution liquid is used Used mainly for CHF + Fluid Overload SCUF (Slow Continuous Ultrafiltration) CVVHD (Continuous Veno-Venous Hemodialysis) The principle ( clearances ) is Diffusion Eliminate mainly Small Molecules Net Fluid Removal is desired Used of Sterile Dialysate Solution CVVH Post dilution (Continuous Veno-Venous Hemofiltration) The principle ( clearances ) is Convection Eliminate Small , Mid + Large molecules Net Fluid removal if desired In post-Dilution Fluids are returning after the Filter inside the venous line CVVH Pre-dilution The principle ( clearances ) is Convection Eliminate Small , Mid + Large molecules Net Fluid removal if desired In pre-Dilution Fluids are returning before the Filter through the pre –Dilution line CVVH -HVHF Pre/Post dilution Associated with High Volume Hemofiltration The principle ( clearances ) is Convection Eliminate Small , Mid + Large molecules Net Fluid removal if desired In pre + post -Dilution Fluids are returning to the patient before and after the Filter The principle ( clearances ) is Convection + Diffusion Eliminate Small + Mid molecules Net Fluid removal if desi