摘要
严重的急性肾损伤(AKI)通常需要肾脏替代治疗(RRT),常用的RRT模式包括腹膜透析、连续性肾脏替代治疗、间歇性血液透析及持续性低效率血液透析。临床实践中,如何为AKI患者选择合适的RRT模式,以及何时启动RRT对AKI患者更有利,仍存在争议。本文对既往关于RRT模式及启动时机对AKI患者预后影响的研究进行总结,以期为临床决策提供帮助。
Acute kidney injury(AKI)usually requires renal replacement therapy(RRT).Common RRT modes include peritoneal dialysis,continuous renal replacement therapy,intermittent hemodialysis and continuous low-efficiency hemodialysis.In clinical practice,there is still controversy over how to select the appropriate RRT mode for AKI patients and when initiating RRT is more beneficial for AKI patients.This article summarizes previous studies on the impact of RRT mode and initiation timing on the prognosis of AKI patients,with the aim of providing assistance for clinical decision-making.
作者
张琳琳
何一锴
葛辉鹏
李恩慧
唐荣
肖湘成
Zhang Linlin;He Yikai;Ge Huipeng;Li Enhui;Tang Rong;Xiao Xiangcheng(Department of Nephrology,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Nephrology,Nanyang Central Hospital,Nanyang 473000,China;Department of Nephrology,the First Hospital of Changsha,Changsha 410005,China)
出处
《中国医师杂志》
2025年第4期631-636,共6页
Journal of Chinese Physician
基金
国家重点研发计划(2020YFC2005004)。
关键词
急性肾损伤
肾脏替代治疗
模式
启动时机
Acute kidney injury
Renal replacement therapy
Modalities
Initiation timing
