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近年来,随着连续肾脏替代治疗(CRRT)技术日趋成熟,其临床应用范围已远远超过了肾脏替代的治疗领域,扩展到各种临床常见危重病的急救。CRRT这一名词已经不能完全概括它的实际内容,而连续血液净化治疗(CBP)可能更符合其临床实际内容。与成人相似的,CBP在儿科的临床应用可分为二大类:肾科适应证如急性肾功能损害,非肾科适应证如脓毒症、急性呼吸窘迫综合征、重症急性胰腺炎等,已有临床经验提示应用CBP治疗儿童危重病对改善预后有益,尤其在严重脓毒症救治中显示出了良好的前景。CBP作为一种有效的治疗手段,其在危重患儿中的应用范围越来越广泛。
In recent years, with the continuous maturity of renal replacement therapy (CRRT) technology, its clinical application has far exceeded the treatment of kidney replacement, extended to a variety of clinical common critical illness first aid. The term CRRT is no longer a complete summary of its actual content, and continuous blood purification (CBP) may be more in line with its clinical reality. Similar to adults, clinical use of CBP in pediatrics can be divided into two broad categories: indications of renal medicine such as acute renal impairment, non-renal indications such as sepsis, acute respiratory distress syndrome, severe acute pancreatitis, Clinical experience has shown that the application of CBP in the treatment of critical illness in children is of benefit in improving prognosis, especially in the treatment of severe sepsis. CBP as an effective treatment, its application in critically ill children is more extensive.