文章摘要
陈姝君,马清.院内获得性急性肾损伤的诊治[J].中国临床保健杂志,2020,23(6):752-755.
院内获得性急性肾损伤的诊治
Diagnosis and treatment of hospital-acquired acute renal injury
投稿时间:2020-02-11  
DOI:10.3969/J.issn.1672-6790.2020.06.007
中文关键词: 急性肾损伤  交叉感染,医院  危险因素  诊断技术和方法  临床方案
英文关键词: Acute kidney injury  Cross infection,hospital  Risk factors  Diagnostic techniques and procedures  Clinical protocols 〖FL
基金项目:
作者单位E-mail
陈姝君 首都医科大学附属北京友谊医院老年医学科,北京 100050 maqing3@163.com 
马清 首都医科大学附属北京友谊医院老年医学科,北京 100050 maqing3@163.com 
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中文摘要:
      老年院内获得性急性肾损伤(AKI)发生率高,年龄、多病共存、感染为主要易患因素,病因多以容量不足、肾脏低灌注及肾毒性药物导致的肾前性和肾性AKI为主。院内获得性AKI死亡率高,预后差,持续性AKI、更高的AKI分期以及重症感染为预后不良的危险因素。早期诊断,及时治疗能明显改善预后。而治疗决策的制定应是结合老年患者的病情,综合评估风险与获益后的个性化治疗方案。
英文摘要:
      The incidence of hospital-acquired acute renal injury(AKI) is high in the elderly patients.Age,comorbidities and infection are the main risk factors.It is caused mostly by low renal perfusion and nephrotoxic drugs leading to prerenal and renal AKI.The mortality of the elderly patients with AKI is also high.Persistent AKI,more severe AKI stage,and serious infection are the risk factors for adverse outcome.Early diagnosis and timely treatment can obviously improve the prognosis.The individualizing treatment strategy should be made according to the patient's conditions and the balance of risks and benefits in the elderly patients.
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