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中毒是我国最突出的公共卫生问题之一,严重患者需行体外血液净化治疗。中毒常用血液净化治疗的方式包括:血液透析、持续低效透析、间歇性血液滤过、血液透析滤过、连续性肾脏替代治疗、血液灌流、血浆置换、全血置换、腹膜透析、白蛋白透析、脑脊液置换、体外多器官功能支持等。本文就血液净化治疗方式的选择,不同治疗方式的适应征及局限性进行综述。
Poisoning is one of the most prominent public health problems in our country. Serious patients need extracorporeal blood purification. Methods of commonly used blood purification treatment of poisoning include hemodialysis, persistent inefficient dialysis, intermittent hemofiltration, hemodiafiltration, continuous renal replacement therapy, hemoperfusion, plasma exchange, whole blood replacement, peritoneal dialysis, albumin dialysis , Replacement of cerebrospinal fluid, multi-organ function support in vitro and so on. In this paper, the choice of blood purification treatment options, different treatment options and limitations are reviewed.