一一一ɡ一一一一一一一一一一一一一一一一ō一一一一一一一一一一一一一一一一一一一—一一一一一一一一一—一一一一一一一一一一一一第一页,共三十五页。一一ě一一一一一一一一一一一一一ǐǎ一一第二页,共三十五页。一一一一一一一一一一一一一一一一一一一一一一一ū一一一一一一一一第三页,共三十五页。一一一一一一一一一一一一一一一一一一一一一一,一一一一一一一一一一一一一一一一一一一一一,一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一(biāozhǔn)一一一Ccr一ml/min一=一U×V一/一Scr×1440一一U一一一一一一一一mg/dl一,Scr一一一一一一一一mg/dl一一V一24一一一一一ml一一第四页,共三十五页。肌酐清除率估算公式:⑴Cockcroft公式(体重(tǐzhòng)公式):非肥胖患者:Ccr=(140-一一)×一一(kg)/72×Scr(mg/dl)一Ccr=(140-一一)×一一(kg)/0.818×Scr(umol/L)一一×0.85一一一一一一一一一第五页,共三十五页。肥胖患者一一一一一一一一一一一一一20%一BMI一30一一一一一(xiàmian)一一一一一一一一一一Ccr一一一=一一137-一一一×一0.285×一一一kg一+12.1×一一2一m一一一/51×Scr一mg/dl一Ccr一一一=一一146-一一一×一0.287×一一一kg一+9.74×一一2一m一一一/60×Scr一mg/dl一一一一一一一1umol/L=88.4mg/dl第六页,共三十五页。Durate一一(gōngshì)一一一一一一一一一一一一一一一Ccr(一)=109.8/一一一一1.8Ccr(一)=77.65/一一一一2.2一一一一一一一一mg/dl第七页,共三十五页。肾功能损伤的分级一一80一120ml一min一一一一一一一一一一一一80一一一一一一一一(biǎoshì)一一一一一一一一一一一一一一一一50一90ml/min一一一一一一一一一一一一一一一一10一50ml/min,一一一一一一一一一一一一一一10ml/min一一一一一一一一一第八页,共三十五页。一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一一第九页,共...