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急诊科急性肾损伤的处理方法

Approach to Acute Kidney Injuries in the Emergency Department.

作者信息

Gaibi Tanveer, Ghatak-Roy Aditi

机构信息

Department of Emergency Medicine, Inova Fairfax Medical Center, 3300 Gallows Road, Falls Church, VA 22042, USA.

Department of Emergency Medicine, George Washington University, 900 23rd Street Northwest, Washington, DC 20037, USA.

出版信息

Emerg Med Clin North Am. 2019 Nov;37(4):661-677. doi: 10.1016/j.emc.2019.07.006. Epub 2019 Aug 30.

Abstract

This article is an evidence-based overview of acute kidney injuries in patients seen in the emergency department setting. The article outlines the current definition of acute kidney injuries and most common causes of injuries. Furthermore, it details clinical evaluations important to appreciate and intervene on, such as volume overload, hypertension, life-threatening electrolyte derangements, and threshold for urgent dialysis. Finally, the article describes special populations that are at higher risk for acute kidney injuries and acute conditions, such as rhabdomyolysis, and the controversy of contrast-induced acute kidney injuries in patients seen in the emergency department.

摘要

本文是一篇基于证据的急诊患者急性肾损伤综述。文章概述了急性肾损伤的当前定义和最常见的损伤原因。此外,还详细介绍了对于识别和干预至关重要的临床评估,如容量超负荷、高血压、危及生命的电解质紊乱以及紧急透析的阈值。最后,文章描述了急性肾损伤和急性病症(如横纹肌溶解症)风险较高的特殊人群,以及急诊患者中对比剂诱导的急性肾损伤的争议。

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