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PPT分享20|急性肾损伤+血液净化原理

  • 2026-04-09 09:47:58
PPT分享20|急性肾损伤+血液净化原理

急性肾损伤+血液净化机制

清除中分子

膜内 血液+置换液（前或后）  膜外没有液体  

机制：对流  模拟肾脏功能

前稀释：抗凝病人用，置换效率低，滤器寿命长 

后稀释：置换效率好，滤器寿命短  高效 

也可前后同时稀释

清除小分子

长期血透病人常用

机制：弥散 

 膜内纯血液，膜外置换液    

血流方向和置换液相反

早期 不确定模式时

可清除中分子+小分子

机制弥散+对流  

膜内血液+透析液，膜外置换液 

心内科单纯容量过负荷，20-30分钟

半小时 可2000ml

END

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  1. CONNECT:[ UseTime:0.000564s ] mysql:host=127.0.0.1;port=3306;dbname=h_sjds;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.000684s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000276s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000250s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.000517s ]
  6. SELECT * FROM `set` [ RunTime:0.000213s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.000625s ]
  8. SELECT * FROM `article` WHERE `id` = 470211 LIMIT 1 [ RunTime:0.000357s ]
  9. UPDATE `article` SET `lasttime` = 1775920552 WHERE `id` = 470211 [ RunTime:0.000818s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 64 LIMIT 1 [ RunTime:0.000228s ]
  11. SELECT * FROM `article` WHERE `id` < 470211 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.000410s ]
  12. SELECT * FROM `article` WHERE `id` > 470211 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.000388s ]
  13. SELECT * FROM `article` WHERE `id` < 470211 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.000804s ]
  14. SELECT * FROM `article` WHERE `id` < 470211 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.000820s ]
  15. SELECT * FROM `article` WHERE `id` < 470211 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.000685s ]
0.075723s