肾脏可复性评估  

Assessment of renal recoverability after acute kidney injury

作　　者：姚玉龙[1] 李奕然 武钧[3,4,5,6] Yao Yulong;Li Yiran;Wu Jun(Department of Critical Care Medicine,Seventh People's Hospital of Shanghai University of Traditional Chinese Medicin,Shanghai 200137,China;Department of Critical Care Medicine,Eastern Hepatobiliary Surgery Hospital,Second Military Medical University,Shanghai 201805,China;Department of Critical Care Medicine,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200025,China;Chinese Critical Ultrasound Study Group)

机构地区：[1]上海中医药大学附属第七人民医院重症医学科,上海200137 [2]海军军医大学附属东方肝胆外科医院重症医学科,上海201805 [3]上海交通大学医学院附属瑞金医院重症医学科,上海200025 [4]中国重症超声研究组 [5]中国医师协会重症医学分会 [6]北京重症超声研究会

出　　处：《临床荟萃》2019年第7期608-613,共6页Clinical Focus

基　　金：上海市卫生和计划生育委员会科研项目——增强超声评估重症急性胰腺炎相关急性肾损害患者肾灌注特征的临床研究(201540138);上海中医药大学附属第七人民医院人才培养项目——肺部超声在ARDS患者中应用价值的多中心研究(QMX2019-01)

摘　　要：急性肾损伤是重症患者常见合并症,其恢复与否密切关系到患者的短期和长期预后,采取有效监测措施判断其可复性及影响因素是采取有效干预和改善预后的关键。肾脏可恢复性受损伤类型和程度、肾脏局部因素和全身状况等诸多因素影响,本文从危险因素、临床信息、病理、分子标志物、影像学等方面对其进行探讨,为临床实践提供参考。Acute kidney injury is a common complication of critically ill patients,and itsrecovery is closely related to the short-term and long-term prognosis.Taking effective monitoring measures to judge its reversibility and the influencing factors is the key to implement effective interventions and improve the prognosis.Renal recoverability rests on many factors such as types and extent of injury,local renal factors and systemic conditions.In order to facilitate clinical practice,the article explores its risk factors,clinical information,pathology,molecular markers,imaging methods,renal blood flow status and other aspects.

关 键 词：急性肾损伤 可恢复性 

分 类 号：R322.61[医药卫生—人体解剖和组织胚胎学]