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急性肾衰竭的持续动静脉血液滤过

Continuous arteriovenous hemofiltration in acute renal failure.

作者信息

Golper T A

出版信息

Am J Kidney Dis. 1985 Dec;6(6):373-86. doi: 10.1016/s0272-6386(85)80099-8.

Abstract

This extensive review describes the settings for continuous arteriovenous hemofiltration (CAVH) and attempts to compare it to traditional dialysis therapies for acute renal failure. In addition hemodynamic stability, membrane biocompatibility, nutrition, fluid and solute removal, operational characteristics, anticoagulation, replacement solutions, drug removal, complications, and trouble shooting during CAVH are all discussed in detail. The cost of CAVH v dialysis is equal. CAVH is probably the renal replacement therapy of choice for hemodynamically unstable patients with acute renal failure and contraindications to peritoneal dialysis.

摘要

这篇全面的综述描述了持续性动静脉血液滤过(CAVH)的设置,并试图将其与治疗急性肾衰竭的传统透析疗法进行比较。此外,还详细讨论了CAVH期间的血流动力学稳定性、膜生物相容性、营养、液体和溶质清除、操作特性、抗凝、置换液、药物清除、并发症及故障排除。CAVH与透析的成本相当。对于血流动力学不稳定且有腹膜透析禁忌证的急性肾衰竭患者,CAVH可能是首选的肾脏替代疗法。

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