CRRT医学知识基础.pptVIP

CRRT医学知识基础 普通血液净化治疗2023/10/102 ICU的治疗环境2023/10/103 内容1 根底理论2 开场治疗3 应用4 管理2023/10/104 根底理论2023/10/105 ICU 中CRRT指征急性肾损伤，尤其是伴有血流动力学不稳定，高代谢，多脏器衰竭等的病例利尿剂抵抗的水钠潴留需要全静脉营养但伴有少尿或无尿钾代谢异常钠代谢异常去除毒素及炎症介质 (内毒素、前列腺素、白介素等)2023/10/106 1977 Kramer et al. Report for the first time on continuous arterio-venous hemofiltration (CAVH)1981 Bischoff develops a pump-driven procedure as continuous veno-venous hemofiltration (CVVH)1985 Geronemus further develops continuous arterio-venous hemodialysis (CAVHD)1987 Uldall introduces continuous veno-venous hemodialysis (CVVHD)历史回忆2023/10/107 CRRT持续不卧床腹膜透析 (CAPD)持续循环腹膜透析 (