观点：低收入和中等收入国家（LMIC）的新生儿急性肾损伤（AKI）
Perspectives: Neonatal acute kidney injury (AKI) in low and middle income countries (LMIC).
作者信息
McCulloch Mignon I, Adabayeri Victoria M, Goka Selasie, Khumalo Tholang S, Lala Nilesh, Leahy Shannon, Ngubane-Mwandla Nokukhanya, Nourse Peter J, Nyann Beatrice I, Petersen Karen L, Levy Cecil S
机构信息
Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.
Korle Bu Teaching Hospital, Accra, Ghana.
出版信息
Front Pediatr. 2022 Aug 31;10:870497. doi: 10.3389/fped.2022.870497. eCollection 2022.
Abstract
Neonatal AKI (NAKI) remains a challenge in low- and middle-income countries (LMICs). In this perspective, we address issues of diagnosis and risk factors particular to less well-resourced regions. The conservative management pre-kidney replacement therapy (pre-KRT) is prioritized and challenges of KRT are described with improvised dialysis techniques also included. Special emphasis is placed on ethical and palliation principles.
摘要
新生儿急性肾损伤（NAKI）在低收入和中等收入国家（LMICs）仍然是一项挑战。从这个角度出发，我们探讨资源相对匮乏地区特有的诊断问题和危险因素。优先考虑肾脏替代治疗前（pre-KRT）的保守管理，并描述了肾脏替代治疗的挑战，还包括一些简易透析技术。特别强调了伦理和姑息治疗原则。
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