Role of citrate and other methods of anticoagulation in patients with severe liver failure requiring continuous renal replacement therapy

枸橼酸盐和其他抗凝方法在需要持续肾脏替代治疗的严重肝功能衰竭患者中的作用

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Abstract

Anticoagulation is required during continuous renal replacement therapy to prevent filter clotting and optimize filter performance. However, anticoagulation may also be associated with serious bleeding complications. Patients with liver failure often suffer from underlying coagulopathy and are especially prone to anticoagulation complications. The aim of this review is to present the unique features of patients with hepatic injury in terms of anticoagulation disorders and to analyze data on safety and efficacy of the different anticoagulation methods for liver failure patients undergoing continuous renal replacement therapy.

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