Acute Kidney Injury in Children An Update on Diagnosis and Treatment

被引：45

作者：

Fortenberry, James D. ^{[1
]}

Paden, Matthew L. ^{[1
]}

Goldstein, Stuart L. ^{[2
]}

机构：

[1] Emory Univ, Sch Med, Crit Care Div, Dept Pediat,Childrens Healthcare Atlanta Egleston, Atlanta, GA 30322 USA

[2] Cincinnati Childrens Hosp Med Ctr, Ctr Acute Care Nephrol, Cincinnati, OH USA

来源：

PEDIATRIC CLINICS OF NORTH AMERICA | 2013年 / 60卷 / 03期

关键词：

Acute kidney injury; Pediatrics; Continuous renal replacement therapy; Fluid overload; Septic shock; Extracorporeal therapies; RENAL-REPLACEMENT THERAPY; EXTRACORPOREAL MEMBRANE-OXYGENATION; CRITICALLY-ILL CHILDREN; CONTINUOUS VENOVENOUS HEMOFILTRATION; INTENSIVE INSULIN THERAPY; PEDIATRIC RESPIRATORY-FAILURE; LENGTH-OF-STAY; FLUID ACCUMULATION; PLASMA-EXCHANGE; RIFLE CRITERIA;

D O I：

10.1016/j.pcl.2013.02.006

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

The concept and definition of acute kidney injury (AKI) in adults and children has undergone significant change in recent years. Biomarker assessment is aiding in description, defining and understanding timing of AKI. AKI demonstrates unique characteristics in association with sepsis and septic shock, organ dysfunction, and fluid overload. Treatment remains problematic, but growing experience with pediatric continuous renal replacement therapies has improved the delivery of care in children. Increasingly, continuous renal replacement therapy is provided in combination with other extracorporeal technologies, and approaches are advancing to improve combined therapy use.

引用

页码：669 / +

页数：21

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