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连续性肾脏替代治疗在新型冠状病毒肺炎中应用的不同看法
张凌,唐新,康焰,王国彬,于朝霞,石秦东,张春,周晓阳,付平
0
(四川大学华西医院肾脏内科?肾脏病研究室;四川大学华西医院重症医学科;浙江大学附属第一医院重症医学科;新疆医科大学第一附属医院重症医学科;西安交通大学第一附属医院重症医学科;西安交通大学第一附属医院外科ICU;武汉大学人民医院心脏内科)
摘要:
连续性肾脏替代治疗(CRRT)是一项新型的血液净化技术,模式多样,可以提供肾腱替代、容量控制、内毒. 素吸附、细胞因子及二氧化碳清除等多方面作用,可用于新型冠状病毒肺炎患者的救治。但CRRT治疗过程中存在一 定风险和相关并发症,在新冠肺炎的救治中需要根据患者的客观需求,谨慎开展,该文主要陈述笔者关于CRRT在新型 冠病毒肺炎中应用的不同理解与看法。
关键词:  新型冠状病毒肺炎;连续性肾脏替代治疗  炎症介质清除;二氧化碳清除
DOI:
基金项目:
Different viewpoints about the application of continuous renal replacement therapy in Corona Virus Disease 2019
ZHANG Ling,TANG Xin,KANG Yan,WANG Guobin,YU Zhaoxia,SHI Qindong,ZHANG Chun,ZHOU Chunyang,FU Ping
(Department of Nephrology,Kidney Research Institute,West China Hospital,Sichuan University;Department of Critical Care Medicine,West China Hospital,Sichuan University;Department of Critical Care Medicine,The First Affiliated Hospital of Zhejiang University;Department of Critical Care Medicine,The First Affiliated Hospital of Xinjiang Medical University;Department of Critical Care Medicine,The First Affiliated Hospital of Xi'an Jiaotong University;Department of Surgical ICU,The First Affiliated Hospital of Xi'an Jiaotong University;Department of Cardiology , The Peoples Hospital of Wuhan University)
Abstract:
Continuous renal replacement, therapy (CRRT) is a new term of blood purification technology with vari ous modes, which can provide kidney replacement., capacity control, endotoxin adsorption, cytokine removal, carbon dioxide removal and other functions. It can be used for the treatment of patients with Corona Virus Disease 2019 (COVID-19). However, there are eertain risks and related complications during CRRT, so the application of CRRT should be carefully in COVID-19 according to the objective needs of patients. This paper mainly states- the authors- different under standings and views about the application of CRRT in COVID-19.
Key words:  COVID-19  Continuous renal replacement therapy  Removal of inflammatory mediators  Carbon dioxide removal

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