55 250 10,000 1,500 [1] B [2] [3] [4] [5] [6] [7] ( ) [8] MARS ( ) [9] MARS Stage [10] [11] [8] (Molecular Adsorbents Recirculating System, MARS)
MARS MARS 1. MARS : 2. 3. (1) 4. (MARS-flux) MARS [10] 50000 1. ( [12] (2) 20% ) (Human serum albumin) [9] 2. (bile acid) (bilirubin) (tryptophan) [14] 3. (ammonia) [15] (3) [16] (Low-flux) [10] [17] (MARS-flux) ( 1) [13] 4. 1. Molecular adsorbent recirculating system ( 13) 56
[18] 5. (Nitric Oxid) MARS (hyperdynamic) [19] MARS 6. (albumin bound toxin) 1. 2. [20] [21] 3. 7. (Aldosterone) (1) 1 [22,23] (2) A&B 8 ( MARS ) (3)MARS 1 (4)MARS 1 (MARS FLUX) 1 (diamars AC250) MARS 1 (diamars IE250) 6 8 1 (diaflux) 1 5 ( 2) (5) 1 MARS (6) 1 1. (7) 2 (8) 20% 50 ml 12 25% 50 ml 10 2. (9) 1000 ml 5 ( 3. 1600 ml) (10) 25 cc 1 (500 4. U/ml) (11) 75% MARS 4. MARS 1. (1)MARS 15 ( 15 ) 2. 6 8 (2) 57
2. MARS (3) MARS (6) Bilirubin Prothrombin time (5) diaflux 2. 5. (1) 3. (2) 4. MARS 6. 5. 6. 7. 8. (3) Creatinine Urea BUN (4) Sodium Potassium Calcium (5) Total Protein Albumin I N R A m m o n i a B i l e a c i d s (4) 15 Cholinesterase SGOT SGPT γ-gt Alkaline phosphatase) 1. (1) (1) Hemoglobin Hematocrit A. 0.9% Leucocytes Platetets (2)C (CRP) B. 150 ml/min C. 58
D. E. F. 12. 2 (2) A. B. 150 ml/min 1. C. ( NTG) 2. (3) 3. A. 150ml/min 4. B. 5. C. 6. D. (1) 9. (2) (3) 10. 0.9% (4) 11. 7. 8. MARS (pin pressure) 70% (pout pressure) (1) (3) A B 13. (2) (pin pressure) MARS (pout pressure) 450 mmhg 450 mmhg 0.9% 59
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