急性腎臟損傷之透析治療

Dialysis-Requiring Acute Kidney Injury

黃士婷(Shih-Ting Huang) ； 莊雅雯(Ya-Wen Chuang) ； 游棟閔(Tung-Min Yu) ； 陳呈旭(Cheng-Hsu Chen)

《腎臟與透析》 32卷1期 (2020/03) Pp. 22-26

https://doi.org/10.6340/KD.202003_32(1).0005

摘要

治療急性腎損傷（acute kidney injury, AKI）患者需支持性的療法，而嚴重AKI患者應進行透析治療。在嚴重AKI患者進行透析治療，可以防止尿毒症及腎衰竭併發症導致的立即死亡。本文將回顧近期臨床指引及文獻，內容包括何時進行緊急透析，透析劑量的要求，透析對腎功能的恢復的影響，以及停止透析的時間。最後，儘管著重討論透析治療，我們應瞭解病況嚴重度及原發疾病才是影響病患預後的主要因子。

關鍵字

急性腎損傷 ； 透析 ； 間歇性血液透析 ； 連續性腎臟替代療法

並列摘要

The management of patients with acute kidney injury is mainly supportive and dialysis is indicated in patients with severe acute kidney injury. The utilization of dialysis in AKI patients resolves uremic symptoms and prevents complications such as immediate death. In this article, we reviewed the latest clinical guidelines and clinical trials regarding indications, optimal timing, type of modality, dosing strategy, hemodynamic considerations, when to withdrawal dialysis and dialysis factors that may influence renal function recovery in AKI patients. At last, there are conflicting data concerning the effect on mortality of continuous renal replacement therapy versus intermittent hemodialysis.

並列關鍵字

acute kidney injury ； dialysis ； intermittent hemodialysis ； continuous renal replacement therapy