急诊科的重症监护：急性肾损伤

Critical care in the emergency department: acute kidney injury.

作者信息

Nee Patrick A, Bailey David J, Todd Victoria, Lewington Andrew J, Wootten Andrea E, Sim Kevin J

机构信息

Faculty of Education, Health and Community, Liverpool John Moores University, Liverpool, UK Department of Emergency and Critical Care Medicine, St Helens and Knowsley Teaching Hospitals NHS Trust, Prescot, Merseyside, UK.

Department of Emergency Medicine, St Helens and Knowsley Teaching Hospitals NHS Trust, Merseyside, UK.

出版信息

Emerg Med J. 2016 May;33(5):361-5. doi: 10.1136/emermed-2015-204722. Epub 2015 May 12.

DOI:10.1136/emermed-2015-204722

PMID:25969433

Abstract

Acute kidney injury (AKI) is common among emergency department patients admitted to hospital. There is evidence of inadequate management of the condition leading to adverse outcomes. We present an illustrative case of AKI complicating a gastrointestinal disorder in an older adult. We discuss the clinical presentation, assessment and management of AKI with reference to recent consensus guidelines on classification and treatment.

摘要

急性肾损伤（AKI）在入住医院的急诊科患者中很常见。有证据表明对该病症的管理不足会导致不良后果。我们展示了一例老年患者急性肾损伤并发胃肠疾病的病例。我们参照最近关于分类和治疗的共识指南，讨论了急性肾损伤的临床表现、评估和管理。