AKI的分级诊断与治疗医学知识讲解_14.pptVIP

AKI的分级诊断与治疗医学知识讲解;提 纲;急性肾功能衰竭;肾功能损伤程度与病死率密切相关;AKI的定义;AKI的发病率及病死率仍居高不下;理想的AKI分级标准;提 纲;RIFLE分级诊断标准;Retrospective study Australian and new Zealand 57 ICUs 120,123 patients Adult ICU admissions for ≥24h with AKI 2000.1.1~2005.12.31;RIFLE评分能够更准确地诊断AKI;RIFLE分级诊断有助于判断患者预后;Retrospectively analyzed 41,972 adult ICU patients All patients were admitted to 22 ICU in the United Kingdom and Germany Between June 1989 and October 1999;RIFLE分级越高，AKI患者病死率越高;RIFLE???级诊断的意义;RIFLE的不足;AKI分级标准的修订;AKIN分级诊断标准;RIFLE与AKIN的比较;AKIN较RIFLE可能的优势;;Nephrol Dial Transplant 2008, 23: 1569–1574;两种分级标准在预后判断方面无明显差异;RIFLE和AKIN均能较好