连续性肾替代治疗在危重病急救中的探索  

The Exploration of CRRT in Critical Emergency

作　　者：熊旭东 谢芳(综述) 许秀华(审校)[2] 

机构地区：[1]上海曙光医院重症医学科,上海200021 [2]上海龙华医院肾病科,上海200021

出　　处：《医学综述》2013年第2期323-325,共3页Medical Recapitulate

摘　　要：连续性肾替代治疗(CRRT)早期治疗是有益的,因为早期CRRT治疗有利于重症急性肾损害(AKI)患者的预后,可能与早期纠正内环境紊乱、维护内环境稳定、预防严重并发症的发生有关。早期治疗可以参照AKI的分级诊断标准。对危重病的CRRT模式大多采用连续性静脉-静脉血滤,对出血高风险患者,如存在活动性出血,接受CRRT治疗时可采取无肝素治疗方法。由ICU医师负责操作CRRT比肾科医师负责更为合理、有利。Early treatment of continuous renal replacement therapy（CRRT） is beneficial, because early CRRT is beneficial to the prognosis of patients with severe acute kidney injury（AKI） ,which may be related with early correction of internal environment disorder, maintaining homeostasis, and prevention of serious complications. Early treatment can refer to diagnostic criteria of AKI classification. Continuos veno-venous he- mofihration（CVVH） CRRT mode is often adopted for critical cases. For the patients with bleeding high-risk, such as existence active bleeding,no heparin therapy of CRRT can be adopted. It＇s more reasonable and ben- eficial for ICU physicians to be responsible for operating CRRT than the renal practitioners.

关 键 词：连续性肾替代治疗 危重病 治疗时机 

分 类 号：R459.5[医药卫生—治疗学]