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[重症监护病房中的肾脏替代治疗]

[Renal replacement therapy in the intensive care unit].

作者信息

Morath C, Miftari N, Dikow R, Hainer C, Zeier M, Schwenger V, Weigand M A

机构信息

Nierenzentrum Heidelberg, Medizinische Universitätsklinik Heidelberg, Im Neuenheimer Feld 162, 69120 Heidelberg.

出版信息

Anaesthesist. 2006 Aug;55(8):901-13; quiz 914. doi: 10.1007/s00101-006-1071-y.

Abstract

Acute renal failure in critically ill patients in the intensive care unit is associated with high morbidity and mortality which is independent of the underlying etiology. Despite improvements in intensive care medicine and renal replacement therapy, patients with acute renal failure have much higher morbidity and mortality rates than patients without acute renal failure in the intensive care unit. In this overview, we summarize the literature on the incidence and mortality of patients with acute renal failure in the intensive care unit. Furthermore, we discuss timing of the initiation of renal replacement therapy, patient outcome with different renal replacement therapies and the adequate dialysis dose to be delivered.

摘要

重症监护病房中危重病患者的急性肾衰竭与高发病率和高死亡率相关,且与潜在病因无关。尽管重症监护医学和肾脏替代治疗有所进步,但在重症监护病房中,急性肾衰竭患者的发病率和死亡率远高于无急性肾衰竭的患者。在本综述中,我们总结了有关重症监护病房中急性肾衰竭患者的发病率和死亡率的文献。此外,我们还讨论了肾脏替代治疗开始的时机、不同肾脏替代治疗的患者预后以及应给予的适当透析剂量。

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