文章摘要
赵佳慧.脓毒症与急性肾损伤[J].中国临床保健杂志,2020,23(6):749-751.
脓毒症与急性肾损伤
Sepsis and acute kidney injury
投稿时间:2020-02-12  
DOI:10.3969/J.issn.1672-6790.2020.06.006
中文关键词: 脓毒症  急性肾损伤  抗感染药
英文关键词: Sepsis  Acute kidney injury  Anti-infective agents 〖FL
基金项目:军队保健专项科研课题
作者单位
赵佳慧 中国人民解放军总医院第二医学中心老年肾科,国家老年疾病临床医学研究中心,北京 100853 
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中文摘要:
      脓毒症是急性肾损伤(AKI)的主要病因,AKI是增加脓毒症病死率的独立危险因素。本文以一例经典病例:96岁老年男性脓毒症后AKI的诊治过程为例,结合脓毒症、AKI相关指南建议及解放军总医院老年肾科的诊治经验,详细阐述老年脓毒症、脓毒症休克后AKI的诊治建议,包括脓毒症的诊断标准、抗休克、抗感染、肾脏替代治疗、营养支持等综合治疗措施。为老年脓毒症后AKI的诊治提供帮助。
英文摘要:
      Sepsis is a major cause of acute kidney injury (AKI).AKI is an independent risk factor for increased sepsis mortality.A classic case of AKI after sepsis in a 96-year-old male was taken as an example to elaborate on the diagnosis and treatment recommendations for AKI after sepsis and septic shock.This recommendation is a combination of sepsis, AKI related guidelines and experience of geriatric nephrology in PLA general hospital. It includes the diagnostic criteria of sepsis, anti-shock, anti-infection, renal replacement therapy, nutritional support and other comprehensive treatmen. This review aims to provide help for the diagnosis and treatment of AKI after sepsis in the elderly.
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