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连续性肾替代疗法在肝肾功能衰竭中的应用

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摘要 肝细胞衰竭的患者有其特征性的血流动力学改变,即心输出量增多和外周血管阻力下降,并伴随着组织缺氧。血液分流、组织缺氧在急性肝衰的患者表现的尤其突出。正常的肾脏灌注的自我调节机制和代偿机制受到影响,病人也可能发生药物性肾损害,或已经存在与肝脏疾病相关的肾小球疾病或小管疾病,故这些患者易于发展为急性肾功能衰竭(ARF),包括急性肾小管坏死和肝肾综合征,出现肝肾功能衰竭。 1 肾替代疗法的模式演变 Pakela首先运用连续性的肾替代疗法(CRRT)
作者 饶向荣
出处 《首都医药》 2000年第10期47-48,共2页 Capital Medicine
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