慢性肾脏病合并肾性贫血的处理策略  

Strategies for treatment of anemia in patients with chronic kidney disease

作　　者：孙雪峰[1] 

机构地区：[1]解放军总医院全军肾脏病研究所,北京100853

出　　处：《中国实用内科杂志》2010年第2期106-108,共3页Chinese Journal of Practical Internal Medicine

基　　金：国家自然科学基金(30871171);全军医学科研"十一五"专项基金(08Z034)

摘　　要：本文概述了慢性肾脏病合并贫血的病因;着重阐述其诊断思路;系统介绍了慢性肾脏病合并贫血的治疗策略,特别是刺激红细胞生成药物和铁剂的合理应用;并提出目前在慢性肾脏病合并贫血诊治上存在的问题。目的在于规范慢性肾脏病合并贫血的临床诊断和治疗,促进该领域的临床研究,提高基层医生慢性肾脏病的治疗水平。The paper reviews the causes of the anemia in patients with chronic kidney disease （CKD） and focuses on the diagnosis. Meanwhile, we also systematically introduce the treatment strategies for patients with anemia and CKD, especially for the reasonable clinical application of erythropoiesis-stimulating agents（ESAs） and iron. The problems in diagnosis and treatment of anemia in CKD patients are also proposed. The objective of this paper is to standardize the clinical diagnosis and treatment of anemia in CKD patients, so as to promote the treatment of CKD in grassroot hospitals.

关 键 词：慢性肾脏病 贫血 刺激红细胞生成药物 

分 类 号：R5[医药卫生—内科学]