| 赵佳慧.脓毒症与急性肾损伤[J].中国临床保健杂志,2020,23(6):749-751. |
| 脓毒症与急性肾损伤 |
| Sepsis and acute kidney injury |
| 投稿时间：2020-02-12 |
| DOI：10.3969/J.issn.1672-6790.2020.06.006 |
| 中文关键词: 脓毒症 急性肾损伤 抗感染药 |
| 英文关键词: Sepsis Acute kidney injury Anti-infective agents 〖FL |
| 基金项目:军队保健专项科研课题 |
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| 中文摘要: |
| 脓毒症是急性肾损伤(AKI)的主要病因,AKI是增加脓毒症病死率的独立危险因素。本文以一例经典病例:96岁老年男性脓毒症后AKI的诊治过程为例,结合脓毒症、AKI相关指南建议及解放军总医院老年肾科的诊治经验,详细阐述老年脓毒症、脓毒症休克后AKI的诊治建议,包括脓毒症的诊断标准、抗休克、抗感染、肾脏替代治疗、营养支持等综合治疗措施。为老年脓毒症后AKI的诊治提供帮助。 |
| 英文摘要: |
| Sepsis is a major cause of acute kidney injury (AKI).AKI is an independent risk factor for increased sepsis mortality.A classic case of AKI after sepsis in a 96-year-old male was taken as an example to elaborate on the diagnosis and treatment recommendations for AKI after sepsis and septic shock.This recommendation is a combination of sepsis, AKI related guidelines and experience of geriatric nephrology in PLA general hospital. It includes the diagnostic criteria of sepsis, anti-shock, anti-infection, renal replacement therapy, nutritional support and other comprehensive treatmen. This review aims to provide help for the diagnosis and treatment of AKI after sepsis in the elderly. |
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