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޳ѡټͳƩϾ򥳥ȥHHDϤʾ塤̤ˤ⸵Ǥ٤ΡɸפꤷΤǤ :)

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ȸȤ򸽤ƤޤϴԤγʤ˹碌ơֲ¿פֻ֤ĹפָΨ⤯פ˾ޤȸȤʤǤȸǤ͡νŤ40kgδԤ90kgδԤƱƩˡɤޤ :(

ƩϤǤϡ󽷤β٤˻¦ԹƤ򶹵˲ᤷΤ褦ƩϼŤδDz٤ƤޤĤޤꡤ

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  • ǯβ?ζʬᡤݸȤκפ¿פѤ

ȸˤʤĤĤޤ [sad]

ȸȤϡ褤ƩϤΰ٤θ̤ι⤤١סֻ֡פƩϤ˵뤳Ȥ񤷤ʤäƤƤȸޤ

ƩϼŤǮդäϤƲäƤߤ⾯ʤ餺¸ߤƤޤΤǡƩϤǤС١סֻ֡פθ̤򸫹ʤȸ櫓ǤϷ褷Ƥޤ󡣵դˡ¦ǽǤäƤⴵ¦˻Ū󤬤äꤷơͤѲĹƩϤ̤礤ˤޤ

3.ΡָΨפ򤢤ˤʤΤǤƻ˹ͤޤޤǡνšϡ̤˹ή̡450ml/min٤ޤǡˤꤵȤ䡤Χɸΰ̣Ϸή̡150200ml/min١ˤꤵȤͭޤˤ񤭤ޤν40kgδԤ90kgδԤƱή̡200ml/minǤȻפޤ :p

ʤή̤ˤĤƤʤԤξϡHDFȸˡͭʤΤǤޤüӤǤݸŬѤ̵Ȥ꤬äơιͤ⤤Ǥդθ򤹤Сή̤ǤʤHDFˡ򤹤̣ʤȤޤ ;)

ͤˡɤƤƩϤˤϼΡɡפΩϤäƤΤǡ١֡פɤ򥯥ꥢǤΤHHDȸޤHHDǤΡѲƩϡפǽǤ˹ԤĹƩϡפǽǤդ̤λͻƤߤޤ礦

HDPιͻ

TheInternetǤäˤʤäƤ碌ߥ˥åۤڤȡHDPHemo-Dialysis ProductˤȸɸѤŬƩϤȸΤɾ륢ǥDr. ScribnerDr. Oreopoulosξ᤬󾧡ˤ뤽Ǥˤȡ

HDP = [1Ʃϻ]  [1Ʃϲ]  [1Ʃϲ]

70ʾŬƩϤɾ褽󾧤ƤͤǤ*1Ǥ̾ԤƤƩϤΰŪǤ

4ƩϤ3ԤְŪƩϡ  HDP = 4x3x3 = 36

ˤʤޤ󤬡ͷʸˤḺǤHHDǤ

2ƩϤ6ԤѲƩϡס  HDP = 2x6x6 = 72
8ƩϤ3ԤĹƩϡ  HDP = 8x3x3 = 72

ȸȤǽȤʤޤʬŬHDP򥯥ꥢ뤳Ȥˤʤޤ

ߤˡʿյǽͭ24ƩϤƤ뤳Ȥˤʤޤ

24ƩϤԤäƤ¡  HDP = 24x7x7 = 1176

ȡ˷㤤οͤˤʤäƤޤޤϤ꼫ˤϾƤޤ

ΤȤ顤HDP70ۤȤȤϡʿյǽӤ

70/1176 = 0.06 i.e. 6%ʾ

ȸȤˤʤޤο裴ο()οյǽ10%ʲ⾯ʤǤΤǡƩƳθƤοԾ֤ȸȤˡ ĤޤƩϤ򤷤ʤƤפʥꥮλݻǤ٤ȸȤǡǤޤޤֽʬƩϡפȤϸƤ٤ʤΤΤޤŪˤ10%ʾ裳٤ˤޤᤷȤǤ뤿ˤ

1176x0.1 = 118 i.e. HDP = 2.5x7x7 = 1227.5x4x4 = 120

٤ƩϤ򤹤ФȤˤʤޤΤǡ2.5֤ѲƩϤ併47.5֤ĹƩϤɸȸȤˤʤޤ

ξ硤̤5ƩϤ4ȷײ褷ƤޤΤǡ

HDP = 5x4x4 = 80

ȤʤꡤƩϤˤ꤬ʡ֤餷Ʃ*2פϥޥʡȸä٤Ǥ礦 :p

ͤʤȤHHDǤм¸ǽˤʤȸǤ [bigsmile]

Ʃ

̤λǡե˥åˤȡ3ƩϤHDFξˤʤޤ

ޤƩ = νŤ1.5٤ηդƩϤ

ȸȤˤʤ뤽Ǥ

Ǥ顤DW?64kgλ䤬4֤ǻƩϤ򤹤

64[kg]x1.5x1000[ml/kg] / (4[hrs]x60[min/hrs]) = 400[ml/min]

ȤʤޤΤǡQB = 400 ή̤ƩϤɤȤˤʤޤ

HDǤ⤳QBȤʤȳи礬פꤽǤ餳ͤʡֽ¤꽽ʬʡƩϤ³ƤвǽʿͤǡHDFʤ龰ֳڤƩϡפ´餷Ǥ :)

Ȥǡοֽͤ3Ʃϡפ֤ƹͤȡ

(64x1.5x1000)[ml/]x3[/] = 288000[ml/]

ƩϡˤɤȸޤǤ2.5ֹԤäHHDǹͤȡ

288000[ml/]/(2.5[hrs]x60[min/hrs]x7[/]) = 274[ml/min]

ĤޤꡤQB=280 ǡֹޤƩ̡פ뤳ȤˤʤޤHHDξϻƩϤȰäơή̤äȶ˼Υꥹ*3ͽۤޤΤǡQB250ml/min٤ޤΤǤʡ򤬤ǤϤޤ󤬡 :p դ˸С

Ʃϻߤľ˹Ԥ褤ƩϤϡήƩϤǤ

ȤʤǤ

ȸȤǡƩϷײ

QB = 250, 4/

ɸƩϻ֤

288000[ml/]/(250[ml]x60[min/hrs]x4[/]) = 4.8[hrs]

顤5֤ȤʤޤʤǽǤ͡ :)

HDPǤ5֤4/ȷײ褷ޤ顤ǥåꡤХåꡪ :D

äȤ˽ѤĹƩϤǤС4󡿽

28800[ml/]/(8x60x4) = 150[ml/min]

Ȥʤޤ顤ǡĹƩϤִˤ䤫ƩϡפȽޤ*4

ƷǤޤȡ

Сνg x 1.5 x 3ѡСʻminxʲˡѢ QBή

ή̤ɸȤή̤ȤȤˤʤޤ

HHD˰ܹԤ顤

  • Ǥ̤ι⤤ѲƩϡפǽ Ĺֹ«ʿ͸
  • Ǥˤ䤫ʡĹƩϡפǽ Ԥôڸ͸

Ȥʤޤη̡Ǥȶ˱ʬޤȴƤ줬뤿ᡤ

  • 褯٤

ɬפФƤޤŪˡ׻ˤʤޤ顤

  • 褯ưʱư

ǡɤ̤ݤDWɬפޤǽФƤƤޤޤ ƩϱդȤΥХ󥹤δط顤ʬȥ뤬פʤꡤ

  • Τɤγ餭ڸ뢪̵ʤ
  • ̤˿ʬǤ

ͤˤʤޤǤɤ

ڤƩ뤳Ȥ

ȸQOLθ̤ԤǤޤ

Ψ׻

ߡŪKt/VȸͤѤƩϸΨ?򸫤ƤޤδȤʤäƤƩϾ郎ֽ3ƩϡפǤΤǡѤƤͤ͡פθǡˤʤäƤޤ

ȤHHDͤʾϡ4ʾ˲䤵륱¿ᡤΡ׾֤ǤΥǡޤĹơְפˤʤޤ

ǡKt/V̲stdKt/V?ȸɸͤФޤ

stdKt/V?Ͼˡְ콵֤Ʃ̡פƩϸΨ?򸫤׻ǡʴǤ

stdKtV_f.jpg
  • äѻޤΤǡȤưʲμƤޤ
eKt/VspKt/VstdKt/V ϡ줾 Kt/VeKt/VspKt/Vstd ɤǡ
Kt/Ve  Kt/Vsp = -ln(Ce/Cs)  [ Cs : ƩBUNǻ١ Ce : ƩϸBUNǻ ]

ꥢڡΨ(URR:ǢǽΨ) = 1-Ce/Cs 

1-exp(-Kt/Ve)  1-exp{ln(Ce/Cs)} = 1-Ce/Cs = URRT = 168/t ֤

Kt/Vstd = URRT / {(T/N-1) + URR/(Kt/Vsp)}

keisn-[򹯤η׻]-[򹯿][]-[]ˡKt/V Ϣη׻ϿޤKt/Vstd ˤбƤޤ

ʲΥѤƤƤ빽Ǥ

<a href='http://keisan.casio.jp/exec/user/1313975059'>Ʃ̡ˣ</a>

*1 ԤηˤϤޤäƩϼŤ˷پĤ餹ŪǵŪƤ줿ɸȤ
*2 Ф
*3 æˤʤɤˤϳ˥ѥ˥å򵯤ơ˻֤ݤ᤮١줬¿ʤ䤹
*4 ᥯˥å

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Last-modified: 2017-04-07 () 20:16:57 (414d)