Vincent J L, Tielemans C
Service des soins intensifs, Hôpital Erasme, Bruxelles.
Rev Prat. 1995 Sep 1;45(13):1621-6.
Acute renal failure often has a complex origin, especially in critically ill patient. Moreover, the tools for investigation of renal failure are generally unspecific, so that the work-up must be based on several elements. It is particularly important to differentiate failure of the kidney itself from prerenal or postrenal failure, since the therapeutic implications are very different. We propose to base the investigation of acute renal failure on some elements to be evaluated in a rapid succession. The complete evaluation should also take into account the consequences of renal failure, which also have therapeutic implications.
急性肾衰竭往往病因复杂，在危重症患者中尤为如此。此外，肾衰竭的检查手段通常缺乏特异性，因此检查工作必须基于多个要素。将肾脏本身的衰竭与肾前性或肾后性肾衰竭区分开来尤为重要，因为其治疗意义截然不同。我们建议基于一系列需快速评估的要素来对急性肾衰竭进行检查。全面评估还应考虑肾衰竭的后果，这同样具有治疗意义。
