Woznowski M P, Rump L C, Schieren G
Klinik für Nephrologie, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.
Internist (Berl). 2014 Nov;55(11):1278-87. doi: 10.1007/s00108-014-3508-8.
Acute kidney injury is still one of the most common serious complications in critical ill patients and is associated with high mortality. Even small changes in renal function significantly influence survival and long-term prognosis.
Selective literature research and analysis of intensive care population with renal failure.
Prophylactic measures as well as early diagnosis and therapy must be the goal of a modern intensive care treatment. Various treatment modalities for renal replacement therapy allow individualized treatment of each patient. The review summarizes the main aspects on prophylaxis and early diagnosis of acute kidney injury as well as the different treatment modalities for an individualized renal replacement therapy.
急性肾损伤仍是重症患者最常见的严重并发症之一，且与高死亡率相关。即使肾功能的微小变化也会显著影响生存率和长期预后。
对肾衰竭重症监护人群进行选择性文献研究与分析。
预防措施以及早期诊断和治疗必须成为现代重症监护治疗的目标。各种肾脏替代治疗方式允许对每位患者进行个体化治疗。本综述总结了急性肾损伤预防和早期诊断的主要方面以及个体化肾脏替代治疗的不同方式。
