摘要
兒童急性腎損傷（acute kidney injury, AKI）因定義沒有共識，發生率在各地歧異度大。根據臺灣長庚研究資料庫兒童的資料，2010～2014年間社區AKI（community-acquired AKI requiring admission to hospital care, CAA-AKI），盛行率為17／1000住院次數；住院AKI（hospital-acquired AKI, HA-AKI）的盛行率則為9.69／1000住院次數。目前Kidney Disease: Improving Global Outcomes（KDIGO）AKI準則（criteria）因為結合多家AKI診斷標準，是最受認可的診斷準則，最短在6小時內透過尿量診斷AKI，最長可在7天從血清肌酸酐上升發掘出兒童有AKI。預防與治療的方式和成人大同小異，重點在於找出AKI的原因。
並列摘要
There is no consensus on the definition of acute kidney injury (AKI) in children, and the incidence rate varies widely from place to place in the published literature. According to the Chang Gung Research Database in Taiwan from 2010 to 2014, the prevalence of community-acquired AKI required admission to hospital care (CAA-AKI) was 17/1000 hospital admissions, while the prevalence of hospital-acquired AKI (HA-AKI) was 9.69/1000 hospital admissions. At present, Kidney Disease: Improving Global Outcomes (KDIGO) AKI criteria is the most recognized criteria as it takes multiple AKI diagnostic components into account. The shortest time to diagnose AKI through urine output is 6 hours, whereas the longest time is 7 days based on the increase in serum creatinine. The prevention and treatment in children are similar to those of adults. The focus of AKI in pediatric patients is to find out the cause of AKI.
延伸閱讀
- 方嬋娟、黃淑鶴、郭嘉文、卓妙如（2019）。新生兒急性腎損傷。護理雜誌，66(6)，66-73。https://doi.org/10.6224/JN.201912_66(6).09
- 洪姵如（2019）。兒童急性腎衰竭與透析。彰化護理，26(4)，12-13。https://doi.org/10.6647/CN.201912_26(4).0005
- 陳烱暉（1978）。小兒急性腎衰竭。Acta Paediatrica Sinica，19(4)，322-326。https://www.airitilibrary.com/Article/Detail?DocID=00016578-197812-19-4-322-326-a
- 許悌、郭漢崇、張世忠（1990）。嬰兒與兒童內因性輸尿管腎盂接合阻塞之臨床處置。慈濟醫學雜誌，2(1)，20-26。https://doi.org/10.6440/TZUCMJ.199001.0020
- Gutiérrez, M. E. H., Pérez, G. S., Moliner, J. M., Riera, J. A. S. I., Marinho, A., & pico, J. L. D. (2013). Acute Kidney Injury in the Critically Ill Patient. Critical Care Research and Practice, 2013(), 84-85. https://doi.org/10.1155/2013/529524