连续性肾脏替代治疗的临床应用及进展-丁峰电子教案.pptVIP

连续性肾脏替代治疗的临床应用及进展 ;讲课提纲;;Shorter blood lines with no gadgets were required to reduce resistance;CRRT的定义;常用的连续性肾脏替代治疗方式 ;SCUF;Qb = 50 - 100;Qb = 50 - 100; CVVHDF;Qb = 50 - 200;讲课提纲;CRRT设备;Hygeia plus;滤器;血管通路;DOUBLE LUMEN VENOUS CATHETERS;抗凝技术;枸橼酸抗凝;钙在凝血中的作用;RCA与粒细胞脱颗粒JASN 1996, 7:234-240;RCA与粒细胞激活-炎症和氧化应激;RCA与粒细胞激活-炎症和氧化应激;枸橼酸抗凝与危重病存活率;结论：RCA可以降低危重病患者的死亡率，降低出血只能部分解释上述差异。RCA尤其对外科手术后、脓毒血症、重症MODs有效，提示可能通过干预炎症起作用。;CRRT时枸橼酸抗凝的技术要点;华山医院CVVH局部枸橼酸抗凝方案;ADQI – I Workgroup 7Fluid composition and management;Contain either bicarbonate or lactate as an anion. Bicarbonate is preferred in patients with la