血液净化原理 模式及治疗选择.pptVIP

Aquarius system or improve ght e 2015 NIKKISO Co., LTD. All rights reserved Evaluation only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  肾脏替代治疗“的内容 1.肾脏替代治疗的基本内容 2.滤器的选择 3.抗凝剂的应用 Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  CRRT命名的发展 CRRT: Continuous renal replacement therapy(连续肾脏替代治疗) ICBP: Intensive care blood purification (yh 症血液净化) CBP: Continuous blood purification (it 续血液净化 Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  CRRT的特点和优越性NKs° CRRT是缓慢、连续排除水分,模拟尿的排泄方式 更符合生理状态,能较妤地维护血流动力学稳定;容量 波动小;溶质清除率高;有利于营养改善及能淸除细胞 因子,从而改善危重ARF患者的预后,更好的血液动力 学稳定性 更好的溶液控制能力和清除 多余水分 累积的更好溶质清除性 维持尿排泄并保存残余肾功 能 除症介质 Evaluauon onr ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  CRRT的分类 ·sCUF缓慢连续超滤 CAVH-连续动静脉血液滤过 cWⅥH-连续静静脉血液滤过 HVHF一高容量血液滤过 CAVHD-连续动静脉血液透析 CVVHD-连续静静脉血液透析 cWⅥHFD一连续静静脉高通量透析 CAVHDF连续动静静脉血液透析滤过 矿 cWⅥHDF连续静静脉血液透析滤过 MPS-血浆置换 HP血液灌流和免疫吸附 ·CRRT以一种更符合机体生理特性的方式,连续地淸除机体多余的水 分和毒素,调节酸碱和电解质的平衡,来有效地维持机体内环境的稳 不单用于急性肾衰,还是救治许多危重病症的有力辅助手段, Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  原理与杌制 吸附 对流 弥散 500 5000 50000 Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  Solute Classes by Molecular Weight NIKKISO Daltons Abumin(55000-6,00o) atory Mediators (1, 200-50,000) Myoglobin(17, 800 Beta 2 Microglobulin (11, 800 Inulin (5.20 e Vitamin B12 (1, 355) roxanne midd|e” Urea(60) ismal Evalu