crrt医学知识基础课件

素等)Р2017/11/8Р7Р1977 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)Р历史回顾Р2017/11/8Р8РCRRTР持续不卧床腹膜透析(CAPD)?持续循环腹膜透析(CCPD)?连续缓慢超滤(SCUF)?连续动静脉血滤(CAVH)?连续动静脉血液透析(CAVHD)?连续动静脉血液透析滤过(CAVHDF)?连续静静脉血液滤过(CVVH)?连续静静脉血液透析(CVVHD)?连续静静脉高流量血液透析(CVVHFD)?连续静静脉血液透析滤过(CVVHDF)Р腹膜透析(IPD)?血液灌流(HP)?血液浓缩?血浆治疗(PEX, PAP)?血液透析(HD)?血液滤过(HF)?血液透析滤过(HDF)Р连续治疗Р间歇治疗РICU中血液净化技术Р2017/11/8Р9РH2OРwater soluble moleculesРFРmmHgРmmHgРBРBРBРDРBРDРmmHgРBРmmHgРDРBРDРlow-fluxРhigh-fluxРhigh-fluxР弥散Р弥散/对流?吸附РHDРHFРHDFР对流?吸附Р不同治疗模式的物质清除(1)Р弥散-Diffusion