儿童急性肾损伤诊断标准的解读

Interpretation of diagnostic criteria about acute kidney injury in children

近年来，国际危重症医学和。肾脏病学等多个学科的专家趋向于以急性肾损伤取代急性肾衰竭，对急性肾损伤的定义、诊断标准、分期、治疗和预后等有了新的观点，诊断标准不断更新，以期达到共识。临床上积极寻找更适宜的诊断时间窗和临床观察指标，制订更科学合理的诊断和分期标准，便于早期诊断、早期干预以降低其病死率。现就近年相关文献对儿童急性肾损伤诊断标准的演变脉络及临床应用作一解读。

In recent years, experts of international nephrology, emergency medicine and other disciplines tend to substitute acute kidney injury for acute renal failure. There is a new point of view about the definition, diagnostic cri- teria, staging, management and prognosis of acute kidney injury. With diagnostic criteria constantly updated,it comes up to an expectation of united criteria as well as reaching a consensus. Continuously looking for more suitable for both time window of clinical diagnosis and clinical observation indicators, and clinically making out much more scientific and rea- sonable standard of diagnosis and staging,which contribute to early detection and early intervention as a result of even- tually mortality rate reduction. This paper gives an interpretation for the procedure of evolution about diagnostic criteria on acute kidney injury in children according to the related literatures updated in recent years.