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连续性肾脏替代治疗

Continuous renal replacement therapy.

作者信息

Amlani Gulzar Salman

机构信息

Aga Khan University, School of Nursing, Karachi.

出版信息

J Pak Med Assoc. 2012 Mar;62(3):276-80.

Abstract

Acute renal failure refers to sudden deterioration in biochemical and physiological functioning of kidneys and often associated with multi organ failure. Continuous renal replacement therapy (CRRT) holds special significance for the treatment of renal failure due to a variety of factors. It is believed that CRRT helps in restoration of acid-base imbalances and electrolyte abnormalities. Along with that, with gradual solute removal, it ensures haemodynamic stability and prevents the risk of cerebral oedema in neurosurgery patients. Besides this, several studies have supported that CRRT enables practitioners to adjust drug dosages and prevent drug accumulation and overdose. In addition, gradual removal of solutes and metabolic waste products helps to clear inflammatory mediators and ensure adequate nutrition for patients and lead to improved renal recovery. Therefore, this article will discuss the different treatment modalities that encompass CRRT and explore the indications and advantages of CRRT in acute renal failure.

摘要

急性肾衰竭是指肾脏生化和生理功能的突然恶化,常与多器官功能衰竭相关。由于多种因素,连续性肾脏替代治疗(CRRT)在肾衰竭治疗中具有特殊意义。人们认为CRRT有助于恢复酸碱失衡和电解质异常。除此之外,随着溶质的逐渐清除,它可确保血流动力学稳定,并防止神经外科患者出现脑水肿风险。此外,多项研究支持CRRT能使医护人员调整药物剂量,防止药物蓄积和过量。另外,溶质和代谢废物的逐渐清除有助于清除炎症介质,确保患者获得充足营养,并促进肾脏恢复。因此,本文将讨论包含CRRT的不同治疗方式,并探讨CRRT在急性肾衰竭中的适应证和优势。

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