枸橼酸抗凝在CRRT中的应用目 录CRRTCRRT常用抗凝药物比较常用抗凝药物比较 11枸橼酸钠抗凝原理枸橼酸钠抗凝原理22枸橼酸钠抗凝操作要点枸橼酸钠抗凝操作要点33病例分享病例分享 44重症的病人5为什么我们需要抗凝血剂 ?持续肾脏替代的抗凝血滤滤器与管路的抗凝作用全身抗凝有害作用持续肾脏替代治疗管路寿命v 满足治疗要求v 降低治疗费用v 减少重新安装管路的护理时间18 30 hr1. Holt AW, Bierer P, Glover P, Plummer JL, Bersten AD. Conventional coagulation and thromboelastograph parameters and longevity of continuous renal replacement circuits. Intensive Care Med 2002; 28: 1649-55.2. Stefanidis I, Hagel J, Frank D, Maurin N. Hemostatic alterations during continuous venovenous h