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妊娠相关急性肾损伤的肾脏替代治疗:把握正确时机

Renal Replacement Therapy in Pregnancy-related Acute Kidney Injury: Getting the Timing Right.

作者信息

Lobo Valentine A

机构信息

Department of Nephrology, King Edward Memorial Hospital, Pune, Maharashtra, India.

出版信息

Indian J Crit Care Med. 2020 Aug;24(8):624-625. doi: 10.5005/jp-journals-10071-23540.

DOI:10.5005/jp-journals-10071-23540
PMID:33024364
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7519613/
Abstract

UNLABELLED

Recent trials have failed to show a survival benefit from the early initiation of dialytic therapies in acute kidney injury (AKI), but the problem has not been studied in pregnancy-related AKI. While the KDIGO criteria have not been validated in pregnancy-related acute kidney injury (PRAKI), additionally both fetal and maternal outcomes require to be studied. The short observational study by Banerjee et al. contains some interesting observations.

HOW TO CITE THIS ARTICLE

Lobo VA. Renal Replacement Therapy in Pregnancy-related Acute Kidney Injury: Getting the Timing Right. Indian J Crit Care Med 2020;24(8):624-625.

摘要

未标注

近期试验未能证明急性肾损伤(AKI)早期开始透析治疗能带来生存获益,但妊娠相关急性肾损伤尚未对此问题进行研究。虽然KDIGO标准在妊娠相关急性肾损伤(PRAKI)中尚未得到验证,但胎儿和母亲的结局都需要进行研究。Banerjee等人的短期观察性研究包含了一些有趣的观察结果。

如何引用本文

Lobo VA。妊娠相关急性肾损伤的肾脏替代治疗:把握正确时机。《印度重症监护医学杂志》2020年;24(8):624 - 625。

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本文引用的文献

1
Comparison of Standard Conservative Treatment and Early Initiation of Renal Replacement Therapy in Pregnancy-related Acute Kidney Injury: A Single-center Prospective Study.标准保守治疗与早期开始肾脏替代治疗在妊娠相关急性肾损伤中的比较:一项单中心前瞻性研究
Indian J Crit Care Med. 2020 Aug;24(8):688-694. doi: 10.5005/jp-journals-10071-23537.
2
Timing of Initiation of Renal-Replacement Therapy in Acute Kidney Injury.急性肾损伤中肾脏替代治疗的启动时机。
N Engl J Med. 2020 Jul 16;383(3):240-251. doi: 10.1056/NEJMoa2000741.
3
Timing of Renal Replacement Therapy for Severe Acute Kidney Injury in Critically Ill Patients.危重症患者严重急性肾损伤的肾脏替代治疗时机。
Am J Respir Crit Care Med. 2019 May 1;199(9):1066-1075. doi: 10.1164/rccm.201810-1906CP.
4
Timing of Renal-Replacement Therapy in Patients with Acute Kidney Injury and Sepsis.急性肾损伤合并脓毒症患者肾脏替代治疗时机。
N Engl J Med. 2018 Oct 11;379(15):1431-1442. doi: 10.1056/NEJMoa1803213.
5
Effect of Early vs Delayed Initiation of Renal Replacement Therapy on Mortality in Critically Ill Patients With Acute Kidney Injury: The ELAIN Randomized Clinical Trial.早期与延迟启动肾脏替代治疗对急性肾损伤危重症患者死亡率的影响:ELAIN 随机临床试验。
JAMA. 2016;315(20):2190-9. doi: 10.1001/jama.2016.5828.
6
Initiation Strategies for Renal-Replacement Therapy in the Intensive Care Unit.重症监护病房肾脏替代治疗的启动策略。
N Engl J Med. 2016 Jul 14;375(2):122-33. doi: 10.1056/NEJMoa1603017. Epub 2016 May 15.
7
Renal-Replacement Therapy in the Critically Ill--Does Timing Matter?重症患者的肾脏替代治疗——时机重要吗?
N Engl J Med. 2016 Jul 14;375(2):175-6. doi: 10.1056/NEJMe1606125. Epub 2016 May 15.
8
Intensive hemodialysis associates with improved pregnancy outcomes: a Canadian and United States cohort comparison.强化血液透析与改善妊娠结局相关:加拿大和美国队列比较
J Am Soc Nephrol. 2014 May;25(5):1103-9. doi: 10.1681/ASN.2013080825. Epub 2014 Feb 13.
9
Earlier-start versus usual-start dialysis in patients with community-acquired acute kidney injury: a randomized controlled trial. 社区获得性急性肾损伤患者的早期开始与常规开始透析:一项随机对照试验。
Am J Kidney Dis. 2013 Dec;62(6):1116-21. doi: 10.1053/j.ajkd.2013.06.012. Epub 2013 Aug 8.
10
When should renal replacement therapy be initiated for acute kidney injury?急性肾损伤应何时开始肾脏替代治疗?
Semin Dial. 2011 Mar-Apr;24(2):132-7. doi: 10.1111/j.1525-139X.2011.00838.x.