急性肾损伤肾替代治疗的新观点与新认识

被引:8
作者
张凌
付平
机构
[1] 四川大学华西医院肾脏内科
关键词
D O I
暂无
中图分类号
R692 [肾疾病];
学科分类号
摘要
<正>急性肾损伤(AKI)是危重症患者常见的合并症之一,其在ICU的病死率高达30%~60%,尚缺乏有效的内科治疗手段。肾替代治疗是重症AKI最为重要的治疗方式,包括连续性肾脏替代治疗(CRRT)、间歇性血液透析(IHD)、持续缓慢低效血液透析(SLED)等。虽然CRRT目前已成为重症AKI的主流治疗模式,但其优越性并没有得到公认。近期关于CRRT治疗AKI的时机与剂量的研究层出不穷,而其结果的不一致性亦成为广大临床医师争论的焦点。
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页码:999 / 1001
相关论文
共 5 条
[1]   容量负荷与急性肾损伤 [J].
杨莹莹 ;
张凌 ;
付平 .
中华肾脏病杂志, 2011, (01)
[2]   Neutrophil gelatinase-associated lipocalin clearance during veno-venous continuous renal replacement therapy in critically ill patients [J].
de Geus, Hilde R. H. ;
Betjes, Michiel G. H. ;
Bakker, Jan .
INTENSIVE CARE MEDICINE, 2010, 36 (12) :2156-2157
[3]  
Discontinuation of continuous renal replacement therapy: A post hoc analysis of a prospective multicenter observational study[J] . Shigehiko Uchino,Rinaldo Bellomo,Hiroshi Morimatsu,Stanislao Morgera,Miet Schetz,Ian Tan,Catherine Bouman,Ettiene Macedo,Noel Gibney,Ashita Tolwani,Heleen Oudemans-van Straaten,Claudio Ronco,John A. Kellum.Critical Care Medicine . 2009 (9)
[4]   Timing of renal replacement therapy and clinical outcomes in critically ill patients with severe acute kidney injury [J].
Bagshaw, Sean M. ;
Uchino, Shigehiko ;
Bellomo, Rinaldo ;
Morimatsu, Hiroshi ;
Morgera, Stanislao ;
Schetz, Miet ;
Tan, Ian ;
Bouman, Catherine ;
Macedo, Ettiene ;
Gibney, Noel ;
Tolwani, Ashita ;
Oudemans-van Straaten, Heleen M. ;
Ronco, Claudio ;
Kellum, John A. .
JOURNAL OF CRITICAL CARE, 2009, 24 (01) :129-140
[5]  
Continuous versus intermittent renal replacement therapy for critically ill patients with acute kidney injury: A meta-analysis[J] . Sean M. Bagshaw,Luc R. Berthiaume,Anthony Delaney,Rinaldo Bellomo.Critical Care Medicine . 2008 (2)