CAJ | 학술논문

脓毒症是儿童急性肾损伤(AKI)的主要病因,为脓毒症死亡的独立危险因素.液体复苏是脓毒症及AKI救治最重要的治疗措施之一,但过量输液导致液体超负荷会加重患者的AKI,不同阶段应采用不同的液体治疗策略,早期充分液体复苏,后期限制性液体治疗.开展动态的、无创的血流动力学监测是危重症AKI患者液体管理的最佳方法.
농독증시인동급성신손상(AKI)적주요병인,위농독증사망적독립위험인소.액체복소시농독증급AKI구치최중요적치료조시지일,단과량수액도치액체초부하회가중환자적AKI,불동계단응채용불동적액체치료책략,조기충분액체복소,후기한제성액체치료.개전동태적、무창적혈류동역학감측시위중증AKI환자액체관리적최가방법.
Acute kidney injury(AKI) is a clinical critical syndrome caused by a variety reason,sepsis is the leading cause and independently associated with mortality in critical patients.Fluid resuscitation is one of the most important treatment of spesis and AKI.Fluid overload has been shown to be associated with worse outcomes in critically ill patients.Different liquid treatment should be adopted in different stages.To carry out dynamic,noninvasive hemodynamic monitoring is the best way to critical patients with AKI liquid management.