20140310急性肾脏1.pptVIP

AKI的治疗干预时机 A的治疗目的是预防，B的治疗目的是限制疾病扩展，C的目的是治疗明确的AKI J Am Soc Nephrol 14:265-267, 2003 ? SIRS AKI/MODS 临床ARF/MSOF ? 课题组CRRT治疗急性重症胰腺炎的经验 p=0.031 回顾性分析过去5年在本中心接受CRRT治疗的急性重症胰腺炎患者46例. 无AKI的患者28天生存率显著高于存在AKI的患者(95.0%vs 68.2% ) 无AKI 有AKI 28天生存率 Zhu Y, Yuan J, Zhang P, Hu X, He Q, Han F, Chen J. Adjunctive continuous high-volume hemofiltration in patients with acute severe pancreatitis: a prospective nonrandomized study. Pancreas. 2011 Jan;40(1):109-13. 生物人工肾 谢谢! E-mail：strong_he@163.com * * In this recent study published in JASN by Xue and co workers you see that indeed the number of cases of acute renal failure per thousand hospital discharges in the Medicare Registry has decreased dramatically not only overall but both in men and in women and also again much more pronounced in the elderly population and is also dependent on the race of the patient. So, there is certainly an increase in the frequency of acute kidney injury but there is also a change in the causality of the acute renal failure or acute kidney injury. * ICU, intensive care unit; CS-ICU, cardiac surgery ICU; BMT, bone marrow transplant patients; Burn, burn unit patients; Liver Tx, liver transplant patients; NA, not assessed; HIV-ICU, patients with human immunode?ciency virus infection admitted to the ICU; ICU-ECMO, ICU patients treated with extracorporeal membrane oxygenation for acute renal failure; ICU-AKI, ICU patients with AKI; ICU-RRT, ICU patients treated with renal replacement therapy for AKI. a The studies are ordered according to the incidence of AKI in the study cohort; b studies that assessed RIFLE status only on basis of creatinine criteria. * We have said before that apparently the prognosis of acute renal failure has not changed over the years despite the fact that our intensive care medicine has much improved, despite the fact that we know much better and much more about the pathogenesis of this syndrome that we are much more able to intervene quite early with renal replacement the