连续性肾脏替代治疗对脓毒症急性肾损伤作用的研究进展  

Research progress of effects of continuous renal replacement therapy on acute renal injury in sepsis

作　　者：李禹杭 王常松[1] Li Yuhang;Wang Changsong(Department of Critical Care,Harbin Medical University Cancer Hospital,Heilongjiang Harbin 150086,China)

机构地区：[1]哈尔滨医科大学附属肿瘤医院重症医学科,黑龙江哈尔滨150086

出　　处：《现代肿瘤医学》2020年第16期2913-2915,共3页Journal of Modern Oncology

摘　　要：脓毒症是急性肾损伤(acute kidney injury,AKI)的主要原因。连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)是脓毒症急性肾损伤(sepsis-induced acute kidney injury,SAKI)最常见的治疗方法。本文对CRRT治疗维持水电解质代谢平衡,调节炎症反应,改善SAKI的营养代谢,调节肾脏代谢适应,促进肾功能恢复等方面的作用,以及国内外对于CRRT治疗启动时机的选择仍存在争议等方面进行了综述。Sepsis is the main cause of acute renal injury(AKI).Continuous renal replacement therapy(CRRT)is the most common treatment for sepsis-induced acute kidney injury(SAKI).This paper reviews the effects of CRRT on maintaining the balance of water and electrolyte metabolism,regulating inflammatory response,improving the nutritional metabolism for patients with SAKI,regulating renal metabolic adaptation,promoting renal function recovery.And there are still controversies at home and abroad about the timing of CRRT.

关 键 词：连续性肾脏替代治疗 脓毒症 急性肾损伤 

分 类 号：R736.5[医药卫生—肿瘤]