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危重病中的肾脏:如何监测关键器官系统。

The kidney in critical illness: how to monitor a pivotal organ system.

机构信息

Department of Anesthesiology, University of Lübeck, Ratzeburger Allee 160, D-23538 Lübeck, Germany.

出版信息

Best Pract Res Clin Anaesthesiol. 2013 Jun;27(2):271-7. doi: 10.1016/j.bpa.2013.06.003.

DOI:10.1016/j.bpa.2013.06.003
PMID:24012237
Abstract

Acute kidney injury is an important complication in patients undergoing major and especially cardiac surgery and in the critically ill. Within the last years, several new modalities have been developed for monitoring of renal function that may be used for early detection of patients developing renal dysfunction as well as to monitor the effects of treatments on this pivotal organ. The present manuscript aims to give a critical overview about recent developments in the field.

摘要

急性肾损伤是接受大手术(尤其是心脏手术)和重症患者的重要并发症。在过去几年中,已经开发出几种新的监测肾功能的方法,这些方法可用于早期发现肾功能障碍的患者,并监测治疗对这个关键器官的影响。本文旨在对该领域的最新进展进行批判性综述。

相似文献

1
The kidney in critical illness: how to monitor a pivotal organ system.危重病中的肾脏:如何监测关键器官系统。
Best Pract Res Clin Anaesthesiol. 2013 Jun;27(2):271-7. doi: 10.1016/j.bpa.2013.06.003.
2
Cardiac surgery-associated acute renal injury: new paradigms and innovative therapies.心脏手术相关急性肾损伤:新范式与创新疗法
J Cardiothorac Vasc Anesth. 2010 Dec;24(6):990-1001. doi: 10.1053/j.jvca.2010.05.010. Epub 2010 Aug 10.
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Impact of cystatin C and RIFLE on renal function assessment after cardiac surgery.胱抑素 C 和 RIFLE 对心脏手术后肾功能评估的影响。
Biol Res Nurs. 2013 Oct;15(4):451-8. doi: 10.1177/1099800412446742. Epub 2012 May 24.
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Acute renal failure.急性肾衰竭。
Semin Respir Crit Care Med. 2011 Oct;32(5):639-50. doi: 10.1055/s-0031-1287872. Epub 2011 Oct 11.
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Prevention of acute renal failure in the critically ill.危重症患者急性肾衰竭的预防
Am J Respir Crit Care Med. 2002 Feb 1;165(3):320-4. doi: 10.1164/ajrccm.165.3.2106086.
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Validation of clinical scores predicting severe acute kidney injury after cardiac surgery.验证预测心脏手术后严重急性肾损伤的临床评分。
Am J Kidney Dis. 2010 Oct;56(4):623-31. doi: 10.1053/j.ajkd.2010.04.017. Epub 2010 Jul 13.
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Late initiation of continuous veno-venous hemofiltration therapy is associated with a lower survival rate in surgical critically ill patients with postoperative acute kidney injury.对于术后发生急性肾损伤的外科重症患者,延迟启动持续静静脉血液滤过治疗与较低的生存率相关。
Am Surg. 2012 Feb;78(2):235-42.
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A comparison of the systems for the identification of postoperative acute kidney injury in pediatric cardiac patients.比较用于识别儿科心脏患者术后急性肾损伤的系统。
Ann Thorac Surg. 2014 Jan;97(1):202-10. doi: 10.1016/j.athoracsur.2013.09.014. Epub 2013 Nov 6.
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Cardiac surgery-associated acute kidney injury: pathophysiology and diagnostic modalities and management.心脏手术相关急性肾损伤:病理生理学、诊断方法及管理
Cardiovasc J Afr. 2020 Jul/Aug;31(4):205-212. doi: 10.5830/CVJA-2019-069. Epub 2020 Jun 12.
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Acute renal failure is NOT an "acute renal success"--a clinical study on the renal oxygen supply/demand relationship in acute kidney injury.急性肾衰竭并不是“急性肾成功”——急性肾损伤中肾氧供/需关系的临床研究。
Crit Care Med. 2010 Aug;38(8):1695-701. doi: 10.1097/CCM.0b013e3181e61911.

引用本文的文献

1
Preoperative plasma growth-differentiation factor-15 for prediction of acute kidney injury in patients undergoing cardiac surgery.术前血浆生长分化因子-15用于预测心脏手术患者的急性肾损伤
Crit Care. 2016 Oct 8;20(1):317. doi: 10.1186/s13054-016-1482-3.
2
Cardiac surgery-associated acute kidney injury.心脏手术相关急性肾损伤
Ann Card Anaesth. 2016 Oct-Dec;19(4):687-698. doi: 10.4103/0971-9784.191578.
3
Serum creatinine role in predicting outcome after cardiac surgery beyond acute kidney injury.血清肌酐在预测心脏手术后急性肾损伤以外的预后中的作用。
World J Cardiol. 2014 Sep 26;6(9):1006-21. doi: 10.4330/wjc.v6.i9.1006.