急性肾损伤的定义诊断与变迁  

Evolution of definition and diagnostic criteria for acute kidney injury

作　　者：王岩[1] 张锂泰 何龙[2] 秦英刚[3] 朱熠冰 叶明[4] 席修明[5] WANG Yan;ZHANG Li-tai;HE Long;QIN Ying-gang;ZHU Yi-bing;YE Ming;XI Xiu-ming(Department of Critical Care Medicine,Qingdao Hospital,University of Health and Rehabilitation Sciences(Qingdao Municipal Hospital),Qingdao 266000,China;不详)

机构地区：[1]康复大学青岛医院(青岛市市立医院)重症医学科,山东青岛266000 [2]中国中医科学院广安门医院急诊科,北京100053 [3]中国中医科学院广安门医院肿瘤科,北京100053 [4]中国中医科学院广安门医院肾病科,北京100053 [5]首都医科大学附属复兴医院重症医学科,北京100045

出　　处：《中国实用内科杂志》2023年第12期969-971,985,共4页Chinese Journal of Practical Internal Medicine

基　　金：中国中医科学院科技创新工程(CI2021A02904)。

摘　　要：急性肾损伤(AKI)是一组临床常见的综合征,主要表现为肾功能的快速下降。AKI的定义与诊断,经历了从无到有,从风险、损伤、衰竭、功能丧失和终末期肾病(RIFLE)、急性肾损伤网络(AKIN)到改善全球肾脏病预后组织(KDIGO)标准的变迁。文章将回顾AKI定义与诊断的变迁史,讨论AKI的内涵、AKI诊断的局限性与展望,以期帮助临床医生更好地理解AKI。Acute kidney injury(AKI)is a common clinical syndrome characterized by rapid decline in renal function.The definition and diagnosis of AKI have gone through a transition,from risk,injury,failure,loss,end-stage(RIFLE),acute kidney injury network(AKIN)to Kidney Disease:Improving Global Outcomes(KDIGO)criteria.In this article,we will review the history of changes in the definition and diagnosis of AKI,discuss the connotation of AKI,and the limitations and prospects of AKI diagnosis,in order to help clinicians understand AKI.

关 键 词：急性肾损伤 定义 诊断标准 

分 类 号：R692.5[医药卫生—泌尿科学]