急性肾损伤如何处理?快收藏这 7 张图
急性肾损伤是一种以肾小球滤过率快速下降和由此导致的代谢废物蓄积为特征的临床综合征。
根据改善全球肾脏病预后组织 (KDIGO),满足以下任一条件即可诊断急性肾损伤:
48 h 内血清肌酐升高 ≥ 0.3 mg/dL(≥ 26.5 μmol/L) 血清肌酐增加至 ≥ 1.5 倍基线值,已知或推测在之前 7 天内出现 尿量 < 0.5 mL/kg/h,持续 6 h
以血肌酐和尿量为依据,将急性肾损伤分为 3 个等级:
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Zarbock A, Mehta RL. Timing of Kidney Replacement Therapy in Acute Kidney Injury. Clin J Am Soc Nephrol. 2019;14(1):147-149.
4. Ostermann M, Joannidis M. Acute kidney injury 2016: diagnosis and diagnostic workup. Crit Care. 2016;20(1):299.
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