Doyle James F, Forni Lui G
Department of Intensive Care, Medicine and Surrey Peri-Operative Anaesthesia and Critical Care Collaborative Research Group, Royal Surrey County Hospital NHS Foundation Trust.
Department of Intensive Care, Medicine and Surrey Peri-Operative Anaesthesia and Critical Care Collaborative Research Group, Royal Surrey County Hospital NHS Foundation Trust; Faculty of Health and Medical Sciences, University of Surrey, Guildford, Surrey, UK.
Biologics. 2016 Nov 7;10:149-156. doi: 10.2147/BTT.S87385. eCollection 2016.
Sepsis-associated acute kidney injury (SA-AKI) is an independent predictor of increased mortality and morbidity. It is essential that further advances in the treatment of sepsis should prioritize targeted therapies in SA-AKI in order to improve these bleak outcomes. As yet, a unique therapy that effectively reduces the impact of acute kidney injury has not been demonstrated. However, the emergence of novel targeted therapies, perhaps in combination, has the possibility of significantly reducing the long-term sequelae of an episode of SA-AKI. In this review, we will focus on the shared etiology of these conditions and how this is managed with targeted therapy and finally the emerging novel therapies that may play an additional role to current treatment strategies.
脓毒症相关急性肾损伤(SA-AKI)是死亡率和发病率增加的独立预测因素。脓毒症治疗的进一步进展必须优先考虑SA-AKI的靶向治疗,以改善这些严峻的预后。迄今为止,尚未证实有一种独特的疗法能有效减轻急性肾损伤的影响。然而,新型靶向疗法的出现,或许联合使用,有可能显著减少SA-AKI发作的长期后遗症。在本综述中,我们将关注这些病症的共同病因,以及如何通过靶向治疗进行管理,最后是可能在当前治疗策略中发挥额外作用的新兴新型疗法。