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专题与讲座·党为人民谋健康的100年

血液透析滤过的技术及应用现状

  • Yuqing Chen ,
  • Bernard Canaud
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  • 1. 北京大学第一医院肾内科;北京大学肾脏疾病研究所;卫生部肾脏疾病重点实验室;慢性肾脏病防治教育部重点实验室(北京大学);中国医学科学院免疫介导肾病诊治创新单元
    2.费森尤斯医疗全球医疗办公室
    3.蒙彼利埃大学医学院

收稿日期: 2021-07-21

  修回日期: 2021-08-08

  网络出版日期: 2021-10-12

The technology and application status of hemodiafiltration

  • YUQING -Chen
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  • 1. Renal Division Peking University First hospital,Institute of Nephrology Peking University, Key Laboratory of Renal Disease Ministry of Health of China, Key Laboratory of CKD Prevention and Treatment Ministry of Education of China, Research Units of Diagnosis and Treatment of ImmunEMediated Kidney Disease Chinese Academy of Medical Sciences, Beijing 100034, China;  2. Global Medical Office, Fresenius Medical Care, Bad Homburg 61352, Germany 3. School of Medicine, Montpellier University, Montpellier 34090, France

Received date: 2021-07-21

  Revised date: 2021-08-08

  Online published: 2021-10-12

摘要

【摘要】血液透析滤过逐渐成为一种常见的肾脏替代治疗方式。血液透析滤过在一次透析中,溶质的清除方式同时包含了弥散和对流,可以同时实现小分子和中大分子量毒素的有效清除。来自中国和国际的近期报告显示,使用在线透析滤过治疗的患者总数逐渐增加。从目前的研究和临床应用情况,亚太地区的临床经验和实践模式与欧洲有所不同,需要根据实际情况进行具体分析。本文综述了血液透析滤过的技术要求和临床研究及应用的现状。

本文引用格式

Yuqing Chen , Bernard Canaud . 血液透析滤过的技术及应用现状[J]. 中国血液净化, 2021 , 20(10) : 649 -653 . DOI: 10.3969/j.issn.1671-4091.2021.10.001

Abstract

【Abstract】Hemodiafiltration has gradually become a common renal replacement therapy. The solute removal method in the hemodiafiltration process includes both diffusion and convection, which can simultaneously achieve the effective removal of small molecules and medium and large molecular weight toxins. Recent reports from China and international researches show that the total number of patients using online hemodiafiltration therapy is gradually increasing. According to the current research and clinical application situation, the clinical experience and practice mode in the Asia-Pacific region are different from those in Europe,
and specific studies are needed to be carried out according to the actual situation. In this paper, we reviewed the technical requirements, clinical researches and application status of hemodiafiltration in this article.

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