连续性肾脏替代治疗：病例 vignettes。（注：vignettes 可译为“小插曲”“片段”等，这里结合语境可能是指病例片段之类的意思，整体译文可能稍显生硬，因为“vignettes”在医学语境中较难准确把握其含义，需结合更多原文内容来理解其确切意思。）

Continuous Renal Replacement Therapy: Case Vignettes.

作者信息

Garwood Charlotte, Sandoval Cass Piper, Wonnacott Robert, Sadler Craig, Dirkes Susan

机构信息

Charlotte Garwood is Registered Nurse 2, Medical Intensive Care Unit, Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville, TN 37232 (

出版信息

AACN Adv Crit Care. 2017 Spring;28(1):64-73. doi: 10.4037/aacnacc2017686.

DOI:10.4037/aacnacc2017686

PMID:28254857

Abstract

The most common indication for continuous renal replacement therapy (CRRT) in critically ill patients is acute kidney injury with hemodynamic instability. Typically, the patient has metabolic disturbances and potential or actual fluid overload that require intervention. Certain critical care diagnoses and/or conditions or therapies present unique CRRT management approaches. Case vignettes are used to present the unique management of CRRT in critically ill patients with rhabdomyolysis, heart failure, and respiratory failure requiring extracorporeal membrane oxygenation.

摘要

危重症患者进行连续性肾脏替代治疗（CRRT）最常见的指征是伴有血流动力学不稳定的急性肾损伤。通常情况下，患者存在代谢紊乱以及需要干预的潜在或实际液体过载情况。某些重症监护诊断和/或病症或治疗方法呈现出独特的CRRT管理方法。病例 vignettes 用于展示在患有横纹肌溶解症、心力衰竭和需要体外膜肺氧合的呼吸衰竭的危重症患者中CRRT的独特管理。