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中华重症医学电子杂志 ›› 2017, Vol. 03 ›› Issue (01) : 5 -8. doi: 10.3877/cma.j.issn.2096-1537.2017.01.003

所属专题: 重症医学 文献

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急性肾损伤诊断标准的变迁如何影响其临床治疗?
王洪亮1, 刘瑞金1, 于凯江2,()   
  1. 1. 150086 哈尔滨医科大学附属第二医院重症医学科
    2. 150081 哈尔滨医科大学附属肿瘤医院
  • 收稿日期:2016-12-28 出版日期:2017-02-28
  • 通信作者: 于凯江
  • 基金资助:
    黑龙江省哈尔滨市科技厅科学技术研究项目(2016RAQXJ154)

How the change of acute kidney injury diagnostic criteria influence its clinical therapy?

Hongliang Wang1, Ruijin Liu1, Kaijiang Yu2,()   

  1. 1. Intensive Care Unit, Second Affiliated Hospital of Harbin Medical University, Harbin 150081, China
    2. Cancer Hospital Affiliated to Harbin Medical University, Herbin 150081, China
  • Received:2016-12-28 Published:2017-02-28
  • Corresponding author: Kaijiang Yu
  • About author:
    Yu Kaijiang, Email:
引用本文:

王洪亮, 刘瑞金, 于凯江. 急性肾损伤诊断标准的变迁如何影响其临床治疗?[J/OL]. 中华重症医学电子杂志, 2017, 03(01): 5-8.

Hongliang Wang, Ruijin Liu, Kaijiang Yu. How the change of acute kidney injury diagnostic criteria influence its clinical therapy?[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2017, 03(01): 5-8.

急性肾损伤(acute kidney injury,AKI)因其高病死率,目前受到越来越多的重视,对于其诊断标准从2002年到2012年10年期间,先后经历了RIFLE、AKIN、KDIGO诊断标准。随着AKI诊断标准的变迁,临床对于AKI患者的血流动力学监测、营养支持、抗凝及肾替代治疗(renal replacement therapy,RRT)模式等的调控更为精细,认识更为深刻。

Acute kidney injury (AKI) is paid a rising attention due to its high mortality. During 10 years from 2002 to 2012, it′s the diagnostic criteria was changed from RIFLE, AKIN to KDIGO criteria. With the change of AKI diagnostic criteria, the clinicians have better understanding and much more meticulous regulation in hemodynamic monitoring, nutritional support, anticoagulation, renal replacement therapy (RRT) model selection

表1 ARF的RIFLE诊断标准
表2 AKI的AKIN诊断标准
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