Davies Thomas W, Ostermann Marlies, Gilbert-Kawai Edward
ACCS Anaesthesia Speciality Trainee, Department of Critical Care, University College Hospital, London NW1 2BU.
Consultant in Nephrology and Intensive Care Medicine, Department of Critical Care, Guy's and St. Thomas' NHS Foundation Trust, London.
Br J Hosp Med (Lond). 2019 Aug 2;80(8):C124-C128. doi: 10.12968/hmed.2019.80.8.C124.
Acute kidney injury is a common occurrence on the intensive care unit and is associated with incremental risk of death and chronic kidney disease. Renal replacement therapy has become an essential tool in the intensive care management of patients with severe acute kidney injury and its use is rising. A basic understanding of renal replacement therapy is essential for all doctors treating acutely unwell patients. This article provides a brief overview of the principles and important considerations for the provision of renal replacement therapy for critically ill patients with acute kidney injury.
急性肾损伤在重症监护病房很常见，并且与死亡风险增加及慢性肾脏病相关。肾脏替代治疗已成为重症急性肾损伤患者重症监护管理中的一项重要手段，其使用正在增加。对于所有治疗急性病患者的医生而言，对肾脏替代治疗有基本的了解至关重要。本文简要概述了为急性肾损伤重症患者提供肾脏替代治疗的原则及重要注意事项。
