Farrar Ashley
Vanderbilt Medical Center, 7S Dialysis/Apheresis Unit, 1211 Medical Center Drive, Nashville, TN 37232, USA.
Nurs Clin North Am. 2018 Dec;53(4):499-510. doi: 10.1016/j.cnur.2018.07.001. Epub 2018 Oct 11.
Acute kidney injury (AKI) most commonly occurs in the hospital setting, and hospital-acquired AKI accounts for 22% of all AKI cases worldwide. AKI causes 2 million deaths per year, and 50% of critically ill patients develop AKI. AKIs include prerenal, intrarenal, and postrenal causes. Treatments include renal replacement therapies and correcting reversible causes. Management of these patients includes medical and social history, laboratory studies, tests such as renal biopsy and ultrasonography, vital signs, volume status, and identifying risk factors. Thus, it is essential to identify high-risk patients, correct any reversible causes, prevent further kidney injury, and perform supportive therapy.
急性肾损伤(AKI)最常发生在医院环境中,全球范围内所有AKI病例中,医院获得性AKI占22%。AKI每年导致200万人死亡,50%的重症患者会发生AKI。AKI包括肾前性、肾性和肾后性病因。治疗方法包括肾脏替代疗法以及纠正可逆性病因。对这些患者的管理包括病史和社会史、实验室检查、肾活检和超声检查等检测、生命体征、容量状态以及识别危险因素。因此,识别高危患者、纠正任何可逆性病因、预防进一步的肾损伤并进行支持性治疗至关重要。