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1、Title, Subject, Author (c) Copyright 14/05/2013Ci-Ca的治疗理念的治疗理念China MarketingAcute DivisionTitle, Subject, Author Copyright 14/05/2013 Page 4为何我们需要抗凝为何我们需要抗凝?Title, Subject, Author Copyright 14/05/2013 Page 6为什么我们需要抗凝血剂?为什么我们需要抗凝血剂?Modified from http:/www.bpac.org.nz/magazine/2011/september/images/c
2、oagulationCascade.jpgTitle, Subject, Author Copyright 14/05/2013 Page 7抗凝治疗方法抗凝治疗方法Title, Subject, Author Copyright 14/05/2013 Page 8CRRT的抗凝治疗的抗凝治疗Title, Subject, Author Copyright 14/05/2013 Page 10CRRT的抗凝治疗的抗凝治疗43%33%10%4%6%4%UFHNo anticoagulantCitrateLMWHNafamostatOthers连续肾脏替代治疗: B.E.S.T. 肾脏肾脏 (支持
3、肾脏治疗的开始和结束支持肾脏治疗的开始和结束).一个全球临床调查。一个全球临床调查。23个国家，个国家，54个加护病房，个加护病房，1006个个CRRT治疗的急性肾功能衰竭患者治疗的急性肾功能衰竭患者Intensive Care Med. 2007;33(9):1563-70Title, Subject, Author Copyright 14/05/2013 Page 11为何我们需要抗凝剂为何我们需要抗凝剂?Title, Subject, Author Copyright 14/05/2013 Page 13枸橼酸是什么？枸橼酸是什么？Title, Subject, Author Copy
4、right 14/05/2013 Page 14这很容易这很容易!Modified from http:/www.bpac.org.nz/magazine/2011/september/images/coagulationCascade.jpgTitle, Subject, Author Copyright 14/05/2013 Page 19FMC通过枸橼酸抗凝技术达到对高质量治疗的承诺Title, Subject, Author Copyright 14/05/2013 Page 22可靠可靠 简易简易安全安全循证循证Title, Subject, Author Copyright 14/
5、05/2013 Page 23Ci-Ca = 循证医学Title, Subject, Author Copyright 14/05/2013 Page 24Ci-Ca的整套装置Title, Subject, Author Copyright 14/05/2013 Page 25Citrate Calcium 泵Title, Subject, Author Copyright 14/05/2013 Page 26完整全面的枸橼酸抗凝技术完整全面的枸橼酸抗凝技术Ci-Ca模组作为multiFiltrate 的扩展枸橼酸输注通过血流量变化调节钙输注通过钙清除来调节所有泵均由multiFiltrate
6、 控制输注量自动平衡Title, Subject, Author Copyright 14/05/2013 Page 28个性化的治疗个性化的治疗枸橼酸剂量枸橼酸剂量 局部抗凝调节 血流量绑定血流量和透析液流量血流量和透析液流量 CRRT 剂量调节 酸碱管理钙剂剂量钙剂剂量 钙离子平衡调节 废液量绑定Title, Subject, Author Copyright 14/05/2013 Page 29安全、简单的操作Title, Subject, Author Copyright 14/05/2013 Page 30Ci-Ca 盒式管路盒式管路: 枸橼酸连接枸橼酸连接Title, Subjec
7、t, Author Copyright 14/05/2013 Page 31Ci-Ca 盒式管路盒式管路: 钙连接钙连接Title, Subject, Author Copyright 14/05/2013 Page 32安全地连接枸橼酸和钙管路安全地连接枸橼酸和钙管路Title, Subject, Author Copyright 14/05/2013 Page 35量身定制的4%枸橼酸钠Title, Subject, Author Copyright 14/05/2013 Page 36氯化钙氯化钙36氯化钙氯化钙:Ca+ 浓度: 50 500 mmol/Le.g: 103mmol/L (
8、590ml)9 vials 10% CaCl in 500ml NaCl 0,9% Ca+用量设定 (1.7 mmol/L 透析液)钙离子与废液流量绑定Title, Subject, Author Copyright 14/05/2013 Page 39Ci-Ca治疗治疗: 治疗参数的简化控制治疗参数的简化控制局部抗凝简易适应局部抗凝简易适应整合的钙剂处方整合的钙剂处方对患者酸碱状态的合理控制对患者酸碱状态的合理控制治疗效果的灵活选择治疗效果的灵活选择Title, Subject, Author Copyright 14/05/2013 Page 41Ci-Ca欧洲标准欧洲标准Source: IPM 2012Ci-Ca 66,000Title, Subject, Author Copyright 14/05/2013 Page 42multiFiltrate 是您治疗的最佳选择Continuous Renal Replacement TreatmentMembrane Plasma SeparationCRRT for PAED PatientsRegional Anticoagulation with CitrateFluid management in Fluid overloaded patients
