肝硬化患者急性肾损伤的诊断与非药物治疗。
The Diagnosis and Non-pharmacological Management of Acute Kidney Injury in Patients with Cirrhosis.
机构信息
Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan; Gastroenterology Section, VA Ann Arbor Healthcare System, Ann Arbor, Michigan.
Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan.
出版信息
Clin Gastroenterol Hepatol. 2023 Sep;21(10S):S11-S19. doi: 10.1016/j.cgh.2023.04.033.
Acute kidney injury in patients with cirrhosis is quite common, and is seen in up to 50% of patients hospitalized for decompensated cirrhosis. Causes of acute kidney injury include prerenal, renal, or postrenal etiologies. The diagnosis and early institution of nonpharmacologic and pharmacologic management are key to the recovery of renal function. The objective of this review is to provide a practical approach to the use of diagnostic biomarkers and highlight the nonpharmacologic management and prevention of acute kidney injury.
肝硬化患者的急性肾损伤相当常见，在因失代偿性肝硬化住院的患者中高达 50%。急性肾损伤的原因包括肾前性、肾性或肾后性。诊断和早期实施非药物和药物治疗是肾功能恢复的关键。本综述的目的是提供一种实用的方法来使用诊断生物标志物，并强调急性肾损伤的非药物管理和预防。
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