首页> 中文期刊> 《中国实用内科杂志》 >持续性肾脏替代治疗发展与问题

持续性肾脏替代治疗发展与问题

         

摘要

Hemofillration, as the important component part of continuous renal replacement therapy ( CRRT) , has wider and wider application space, which is far from the limitation to kidney function substitute. From the mechanism of hemofiltra-tinn,investigate the physiological effects caused by hemofiltration and obtain its efficacy based on the altered physiological changes, which has been a major train of thought on researches in recent years. The clinical studies mainly manifest the aspects such as indication, timing, intensity, dose in hemofiltration. These studies encourage the orientated application of clinical objectives of blood purification to be more practicle by showing its definite advantages and characteristics. Due to the presence of new problems in the development process, the new solutions have promoted the development of clinical application of blood purification to a greater extent.%作为血液净化治疗的重要组成部分,血液滤过治疗在临床医疗中正在展现越来越广阔的应用空间,已经不仅限于肾脏功能替代.从血液滤过治疗的作用机制出发,研究其导致的生理影响,再由生理改变引导出治疗效果,已经成为近年来研究的重要思路.临床研究中主要体现在实施血液滤过治疗的指征、时机、强度、剂量等方面.这些研究使血液净化治疗的临床目标导向性应用更加具有可操作性,已经体现出明确的优势和特点.在这个发展过程中不断出现新的问题,新的解决过程在更大的程度上推动了血液净化治疗临床应用的发展.

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