定稿连续性血液净化基础知识及临床应用.pptVIP

最新. 对流 溶液（小、中分子溶质，H2O） 压力差 半透膜 Hemofiltration?-血液滤过 * 最新. Convection Red Blood Cell Bicarbonate Creatinine Chlorure Potassium Urea Positive Pressure Blood Membrane Filtrate 对流 Associated with ?? Hemofiltration? * 最新. 吸附 溶质吸附到滤器膜表面 膜的性质、面积 IL-1,IL-6,IgG C1q,C3,C5 Β2微球蛋白,PTH 白蛋白 * 最新. Adsorption Red Blood cell Creatinine Chlorure Potassium Urea blood Membrane Filtrate Inflammatory Mediators 吸附 * 最新. 血液净化基本治疗方式 * * SCUF CVVH CVVHD CVVHDF CBP基本治疗方式 Access Return Effluent Replacement (pre or post dilution) Access Return Effluent Access Return Effluent Dialysate Replacement (pre orpost dilution) I Access Return Effluent Dialysate 最新. 最新. Removal of water is done by UF No Substitution liquid is used Used mainly for Fluid Overload SCUF (Slow Continuous Ultrafiltration) * 最新. CVVHD (Continuous Veno-Venous Hemodialysis) The principle ( clearances ) is Diffusion Eliminate mainly Small Molecules Net Fluid Removal is desired Used of Sterile Dialysate Solution * 最新. 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 * 最新. 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 * 最新. 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 * 最新. The principle ( clearances ) is Convection + Diffusion Eliminate Small + Mid molecules Net Fluid removal if desired Use of Sterile Dialysate + Replacement Solutions CVVHDF (Continuous Veno-Venous Hem