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Renal Replacement Therapy in Acute Kidney Injury
並列摘要
Acute kidney injury (AKI) is a common and serious complication in critically ill patients. The mortality rate remains high despite improved renal replacement techniques. A possible cause of the high mortality rate is that intensive care unit patients tend to be older and more debilitated. Pathophysiological factors associated with AKI are also incriminated in the failure of other organs, indicating that AKI is often part of a multiple organ failure syndrome. The management of patients with AKI is principally supportive. Renal replacement therapy (RRT) was indicated for patients with severe kidney injury and multiple modalities of RRT are currently available. These include intermittent hemodialysis, continuous renal replacement therapies, and hybrid therapies, such as sustained low-efficiency dialysis. This article reviews current knowledge regarding the optimal timing, appropriate type of modality and dosing strategy for patients with AKI who require RRT.
參考文獻
延伸閱讀
- 王家良、楊得政、王守玠、張淑鈺、鄭凌寶（2020）。The Introduction of Continuous Renal Replacement Therapy。腎臟與透析，32(1)，31-34。https://doi.org/10.6340/KD.202003_32(1).0007
- Yuan, C. M., & Perkins, R. M. (2011). Renal Replacement Therapy in Austere Environments. International Journal of Nephrology, 2011(), 659-667. https://doi.org/10.4061/2011/748053
- 許皓翔、黃道民（2022）。Acute Kidney Injury in Critically Ill Patients and Renal Hospice Care。腎臟與透析，34(1)，13-17。https://doi.org/10.6340/KD.202203_34(1).0003
- 朱宗信（1997）。Nephrology:Continuous Renal Replacement Therapy。台灣醫學，1(2)，245-250。https://doi.org/10.6320/FJM.1997.1(2).17
- 郭錦輯、周鈺翔、李柏葒、陳昶旭、王介立、蔡壁如、吳允升、林水龍、陳永銘、吳寬墩、蔡敦仁、柯文哲、吳明修（2009）。Recent Update on Acute Kidney Injury and Critical Dialysis。內科學誌，20(4)，320-334。https://doi.org/10.6314/JIMT.2009.20(4).06