![确定瘘管再循环和/或心肺再循环占总瘘管再循环和心肺再循环百分比的方法](/CN/2009/8/20/images/200980101944.jpg)
基本信息:
- 专利标题: 确定瘘管再循环和/或心肺再循环占总瘘管再循环和心肺再循环百分比的方法
- 专利标题(英):Method for determining the percentage of recirculation in a fistula and/or cardiopulmonary recirculation relative to the total fistula recirculation and cardiopulmonary recirculation
- 申请号:CN200980101944.5 申请日:2009-01-08
- 公开(公告)号:CN101909671A 公开(公告)日:2010-12-08
- 发明人: W·张
- 申请人: 弗雷泽纽斯医疗保健德国有限公司
- 申请人地址: 巴特洪堡
- 专利权人: 弗雷泽纽斯医疗保健德国有限公司
- 当前专利权人: 弗雷泽纽斯医疗保健德国有限公司
- 当前专利权人地址: 巴特洪堡
- 代理机构: 北京市中咨律师事务所
- 代理人: 杨晓光; 张静娟
- 优先权: 102008003714.1 2008.01.09 DE
- 国际申请: PCT/EP2009/000054 2009.01.08
- 国际公布: WO2009/087092 DE 2009.07.16
- 进入国家日期: 2010-07-09
- 主分类号: A61M1/34
- IPC分类号: A61M1/34
The invention relates to a method and an apparatus for determining the percentage of fistula circulation and/or cardiopulmonary recirculation relative to the total fistula recirculation and cardiopulmonary recirculation during an extracorporeal blood treatment in which substitution liquid is fed to the blood at a specific substitution rate upstream or downstream of the first chamber (3) of the dialyzer (1) or filter, while liquid is withdrawn from the blood at a specific flow rate via the membrane (2) of the dialyzer (1) or filter. The method according to the invention and the apparatus according to the invention are characterized in that the substitution rate Qs is modified by a predefined amount upstream of downstream of the dialyzer or filter while the flow rate QFM of the liquid that is withdrawn through the dialyzer membrane is modified. The blood volume RBV(t) or a variable correlated with the blood volume, e.g. the hematocrit Hct(t), is determined before and after modifying thesubstitution rate or the flow rate of the liquid withdrawn through the dialyzer or filter membrane in order to calculate fistula recirculation RAon the basis of the blood volume or the hematocrit. Inaddition, the sum R of fistula recirculation (RA) and cardiopulmonary recirculation (RCP) is determined. The percentage of fistula recirculation (RA) and/or cardiopulmonary recirculation (RCP) relative to the total fistula recirculation (RA) and/or cardiopulmonary recirculation (RCP) is calculated from the determined fistula recirculation (RA) and the sum R of fistula recirculation (RA) and cardiopulmonary recirculation (RCP).
公开/授权文献:
- CN101909671B 确定瘘管再循环和/或心肺再循环占总瘘管再循环和心肺再循环百分比的方法 公开/授权日:2013-08-14