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[缓慢低效透析(sled)在肾脏替代治疗中的作用]

[The role of slow low efficiency dialysis (sled) in renal replacement therapy].

作者信息

Kościelska Małgorzata, Żebrowski Paweł, Małyszko Jolanta

机构信息

Katedra i Klinika Nefrologii, Dializoterapii i Chorób Wewnętrznych, Warszawski Uniwersytet Medyczny, Warszawa, Polska.

出版信息

Wiad Lek. 2019;72(11 cz 2):2250-2253.

Abstract

Slow low efficiency dialysis (SLED) is a hybrid technique of renal replacement therapy. It can be performed with a mobile single-pass batch dialysis system (Genius®) or the multifunctional hemodialysis machines, with reduced dialysate flow and the extended duration of the procedure. The present article reviews the recently published data comparing SLED to continuous renal replacement modalities in critically ill patients with acute kidney injury (AKI). The technical aspects as well as the practical advantages of SLED-Genius®are discussed, and our experience of using SLED for intraoperative renal replacement therapy during liver transplantation is shortly presented.

摘要

缓慢低效透析(SLED)是一种肾脏替代治疗的混合技术。它可以通过移动单通道间歇透析系统(Genius®)或多功能血液透析机进行,透析液流量减少,治疗时间延长。本文回顾了最近发表的将SLED与急性肾损伤(AKI)危重症患者的连续性肾脏替代治疗方式进行比较的数据。讨论了SLED-Genius®的技术方面以及实际优势,并简要介绍了我们在肝移植术中使用SLED进行肾脏替代治疗的经验。

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