连续性肾脏替代治疗急性肾损伤的时机模式及剂量

被引：10

作者：

张凌 ^{[1
]}

杨莹莹 ^{[2
]}

付平 ^{[1
]}

机构：

[1] 四川大学华西医院肾脏内科

[2] 四川大学华西临床医学院

来源：

中国实用内科杂志 | 2011年 / 31卷 / 04期

关键词：

急性肾损伤; 连续性肾脏替代治疗;

D O I：

暂无

中图分类号：

R692 [肾疾病];

学科分类号：

1002 ; 100210 ;

摘要：

急性肾损伤(AKI)在临床尤其在重症监护室十分常见,但仍缺乏有效的内科治疗手段,其病死率居高不下。连续性肾脏替代治疗具有血流动力学稳定、精确控制容量平衡、缓慢持续清除毒素、清除炎症介质、调节免疫功能等多项优势,是目前治疗重症AKI的重要方法,也是危重患者救治领域的研究热点。它自应用于AKI治疗以来,不断发展,已衍生出多种新型治疗模式,但其具体治疗处方及与间断性血液透析的疗效比较等方面尚存争议。文章将就连续性肾脏替代治疗AKI的时机、模式及剂量做一综述。

引用

页码：301 / 304

页数：4

共 22 条

[1]

The Outcome of Acute Renal Failure in the Intensive Care Unit According to RIFLE: Model Application, Sensitivity, and Predictability[J] . Nihal Y. Abosaif,Yasser A. Tolba,Mike Heap,Jean Russell,A. Meguid El Nahas. &nbspAmerican Journal of Kidney Diseases . 2005 (6)

[2]

Effects of early high-volume continuous venovenous hemofiltration on survival and recovery of renal function in intensive care patients with acute renal failure: A prospective, randomized trial[J] . Catherine S. C. Bouman,Heleen M. Oudemans-van Straaten,Jan G. P. Tijssen,Durk F. Zandstra,Jozef Kesecioglu. &nbspCritical Care Medicine . 2002 (10)

[3]

Effects of different doses in continuous veno-venous haemofiltration on outcomes of acute renal failure: a prospective randomised trial[J] . Claudio Ronco,Rinaldo Bellomo,Peter Homel,Alessandra Brendolan,Maurizio Dan,Pasquale Piccinni,Gluseppe La Greca. &nbspThe Lancet . 2000 (9223)

[4]

Outcome in post-traumatic acute renal failure when continuous renal replacement therapy is applied early vs. late[J] . L. G. Gettings,H. N. Reynolds,T. Scalea. &nbspIntensive Care Medicine . 1999 (8)

[5]

Early start on continuous hemodialysis ther-apy improves survival rate in patients with acute renal failure fol-lowing coronary bypass surgery. Sugahara S,,Suzuki H. Hemodial Int . 2004

[6]

Intermittent versuscontinuous renal replacement therapy for acute renal failure in a-dults. Rabindranath K,Adams J,Macleod AM,et al. Cochrane Database of Systematic Reviews . 2007

[7]

Intensity of continuous renal-re-placement therapy in critically ill patients. Bellomo R,Cass A,Cole L,et al. The New England Journal of Medicine . 2009

[8]

Effects of different doses in continuous veno-venous haemofiltration on outcomes of acute renal failure: a prospective randomised trial. Ronco C,Bellomo R,Homel P,et al. Lancet,The . 2000

[9]

Timing of renal replacement therapy and clinical outcomes in critically ill patients with severe acute kidney injury. Bagshaw SM,Uchino S,Bellomo R, et al. Journal of Critical Care . 2009

[10]

Early hemofiltration improves survival in post-cardiotomy patients with acute renal failure. Elahi MM,Lim MY,Joseph RN, et al. European Journal of Cardio Thoracic Surgery . 2004

← 1 2 3 →