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the substitution fluid
相关语句
  相似匹配句对
     On the Substitution Spaces
     关于置换空间P_BB_S
短句来源
     On substitution and innovation
     浅谈替代与创新
短句来源
     DISCUSSION ON SUBSTITUTION
     钢筋代换的探讨
短句来源
     Study on the substitution of refrigerant
     制冷工质替代情况研究
短句来源
     ④fluid;
     4流体;
短句来源
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  the substitution fluid
Haemodiafiltration management was more cumbersome and time consuming because it required continual adjustment of the substitution fluid flow rate to precisely balance inflow and outflow rates.
      
The substitution fluid rate was equal to the ultrafiltrate rate.
      
The design of the connection between the substitution fluid bags and the circuit also appears to cause intermittent obstruction to flow.
      
In post-dilution HF, the bicarbonate contained in the removed plasma water is replaced by the bicarbonate contained in the substitution fluid.
      


Objective: To compare the efficacies between intermittent hemodialysis (IHD) and continuous blood purification (CBP) on elderly patients with acute renal failure (ARF). Methods: Of 29 elderly patients with ARF ( 15 cases with multiorgan failure), 12 cases received IHD and 17 cases underwent CBP. 2 types of CBP were performed: continuous venovenous hemafiltration (CVVH) in 10 cases and continuous venovenous hemadiafiltration (CVVHDF) in 7 cases. The substitution fluid was used by predilution in 15 patients...

Objective: To compare the efficacies between intermittent hemodialysis (IHD) and continuous blood purification (CBP) on elderly patients with acute renal failure (ARF). Methods: Of 29 elderly patients with ARF ( 15 cases with multiorgan failure), 12 cases received IHD and 17 cases underwent CBP. 2 types of CBP were performed: continuous venovenous hemafiltration (CVVH) in 10 cases and continuous venovenous hemadiafiltration (CVVHDF) in 7 cases. The substitution fluid was used by predilution in 15 patients and postdilution in 2 patients. Results: CBP can reduce the incidence of the complications of elderly patients with ARF. The mortality in elderly patients with ARF was related mainly to the numbers of organ failure, primary disease and the types of blood purification. Conclusion: CBP is the effective means for the elderly patients with ARF, it has benefits in improving fluid-balance and the clearance of azotemia.

目的 :比较连续性血液净化 (CBP)与间歇性血液透析 (IHD)治疗老年急性肾功能衰竭 (ARF)的疗效、预后及并发症 .方法 :2 9例老年ARF患者 [其中伴多脏器功能衰竭 (MOF) 15例 ],12例应用IHD治疗 ,17例应用CBP治疗 (CVVH10例 ,CVVHDF 7例 ) ,置换液前稀释 15例 ,后稀释 2例 .结果 :经CBP及IHD治疗后血肌酐及尿素氮均明显下降 ,P <0 0 5 ,其中CVVHDF和IHD对溶质的清除优于CVVH组 .CBP组无 1例发生治疗低血压 ,而IHD组 4例发生透析低血压 .预后与血液净化方式、脏器衰竭数目、原发病和血液净化方式有关 .结论 :CBP在救治老年ARF ,尤其是伴有MOF时 ,是极有效的治疗方法 ,在液体平衡及血液动力学稳定方面效果优于IHD ,可明显降低老年ARF透析低血压的发生

Objective To investigate the anticoagulative effect iveness and reliability of sodium citrate substitution fluid in continuous renal replacement therapy (CRRT) among patients with multiple organs failure(MOF) at high risk of bleeding. Methods CRRTs were performed in fifteen MOF patients at high ri sk of bleeding. The substitution fluid and dialysate were sodium citrate substit ution fluid and routine bicarbonate dialysate respectively. Calcium glyconate an d magnesium sulfate were continuously...

Objective To investigate the anticoagulative effect iveness and reliability of sodium citrate substitution fluid in continuous renal replacement therapy (CRRT) among patients with multiple organs failure(MOF) at high risk of bleeding. Methods CRRTs were performed in fifteen MOF patients at high ri sk of bleeding. The substitution fluid and dialysate were sodium citrate substit ution fluid and routine bicarbonate dialysate respectively. Calcium glyconate an d magnesium sulfate were continuously supplied during the treatment periods. Cli nical changes, blood gas analysis,serum creatinine,blood urea nitragen(BUN), ele ctrolyte, activated clotting time(ACT), prothrombin time(PT),activated partial thromboplastin time (APTT) and thromboplastin time(TT) at predialysis,4th hour, 8th hour and 24th ho ur in dialysis,the blood coagulation of tube pathways and blood filters were rec orded. As the same time, side effect were observed in therapy.Results All patients were kept stable vital signs, serum electro lyte and blood gas markers during the therapeutic periods. Moreover, ideal seru m creatinine and urea clearance rate and ultrafiltration rate were obtained in a ll subjects, but without deteriorated bleeding and significantly prolonged ACT,P T,APTT and TT. The blood filters longevity were in the range from 18 hours to 48 hours,the longest was 72 hours. Conclusion Ideal clinical therapeutic effects and improved hemo rrhagic tendency were achieved in MOF patients at high risk of bleeding using so dium citrate substitution fluid during CRRT. Sodium citrate;

目的 观察枸橼酸钠溶液在多脏器衰竭合并高危出血患者行连续性肾替代治疗 (CRRT)时的抗凝有效性和安全性。方法  15例多脏器衰竭合并高危出血患者行连续性肾脏替代治疗时 ,给予含 13.3mmol/L的枸橼酸钠溶液为置换液 ,透析液为常规碳酸氢盐溶液 ,持续补钙 ,适量补镁 ,记录透析前、透析 4小时、透析 8小时、透析 2 4小时的血肌酐、尿素、血气分析、电解质、ACT、PT、APTT及TT的变化、管路及血滤器的凝血情况和使用时间 ,并观察治疗中不良反应。结果 治疗过程中患者生命体征平稳 ,出血无加重 ,电解质、血气指标稳定 ,肌酐、尿素清除效果明显 ,超滤可达目标值 ,体内的ACT、PT、APTT、TT均不延长 ,血滤器使用时间为 (2 4 .0± 9.2 )小时 ,范围 18~ 72小时 ,能够达到治疗要求。结论 枸橼酸盐置换液应用在多脏器衰竭合并高危出血患者行连续性肾替代治疗时 ,既不加重患者出血倾向 ,又能够达到临床治疗效果。

Objective To study the optimal composition of the substitution fluidin high volume hemofiltration (HVHF).Methods Thirty-seven patients with MODS received 171 HVHFtreatments. Blood samples were collected from the patients, biochemical parameters and hemo-dynamic parameters were tested before and after the treatment. Those parameters were alsomonitored during the whole session of each treatment. Our substitution contained 2500ml ofsaline, 1000ml of distilled water, 10ml (50%) of glucose solution, 250ml...

Objective To study the optimal composition of the substitution fluidin high volume hemofiltration (HVHF).Methods Thirty-seven patients with MODS received 171 HVHFtreatments. Blood samples were collected from the patients, biochemical parameters and hemo-dynamic parameters were tested before and after the treatment. Those parameters were alsomonitored during the whole session of each treatment. Our substitution contained 2500ml ofsaline, 1000ml of distilled water, 10ml (50%) of glucose solution, 250ml (5%) of NaHCO3, 12ml(10%) of KCl,40ml(10%) of calcium gluconate and 3ml (25%) of MgSO4. The fluids were administeredby pre-dilution mode and low molecular weight heparin (LMWH) was available for anticoagulation.Results During each session of HVHF, patients hemodynamic parameters such as heart rate(HR),mean artery pressure (MAP) and central veneus pressure (CVP) were steady. There were nosignificant changes of serum ALT, AST, albumin, globulin, glucose and electrolytes level afterone session. Blood-gas analysis showed that under the treatment, patients arterial pH, PCO2and HCO3 were maintained in the normal range, while PO2 and base excess (BE) had got markedimprovement. There had been a significant improvement on patients hepatic function and renalfunction after the treatments with the reduction of serum TB, CB and creatinine.ConclusionsOur prescription for the substitution fluid is easy to make. With the precise calculation ofthe ionic concentration, the substitution fluids made by ourselves can be applied safely forHVHF treatments.

目的探讨高容量血液滤过治疗时置换液的合理配制问题。方法应用高容量血液滤过治疗复旦大学附属中山医院2002年1月~2003年12月,37例MODS患者,前瞻性观察治疗前后患者血流动力学、肝肾功能、血电解质及酸碱平衡的变化。置换液配方生理盐水2500ml、注射用水1000ml、50%葡萄糖水10ml、5%NaHCO3250ml、10%KCl12ml、10%葡萄糖酸钙40ml、25%MgSO43ml。以前稀释方式输入,采用低分子肝素抗凝。结果37例患者共治疗171例次,血液滤过治疗过程中患者心率、平均动脉压、中心静脉压等血流动力学参数稳定,血钾、钠、氯、钙、磷、镁、ALT、AST、白蛋白、球蛋白、血糖等生化指标治疗前后稳定。血pH、PCO2、HCO3-等酸碱指标治疗前后稳定,PO2、BE治疗后较治疗前显著改善。治疗后TB、CB、Cr等指标则均较治疗前显著改善。结论本院自制置换液配制简单、离子浓度准确,可安全应用于高容量血液滤过治疗。

 
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