摘要
急性肾损伤(acute kidney injury,AKI)是由多种病因导致的一种综合征,可在危重病的不同阶段出现。在评估AKI时,肾脏超声成为最适宜的影像学评估手段而被强烈推荐:(1)评估肾脏的固有病变;(2)区分急慢性肾脏疾病;(3)明确梗阻性病因。肾阻力指数可用于预测AKI的发展和预后。同时,心肺超声的联合应用及血流动力学的评估,有利于明确AKI的病因和监测、指导治疗。
Acute kidney injury(AKI)is a syndrome with many different causes and can occur at different stages throughout critical illness.Renal Doppler ultrasonography is the most appropriate imaging test in the evaluation of AKI and has the highest level of recommendation:(1)assessment of intrinsic causes of AKI,(2)distinguishing acute from chronic kidney diseases,(3)detection of the causes of obstruction.The resistive index in patients with AKI will be reviewed with attention to its use for predicting the development and prognosis of AKI.Meanwhile,combined application of cardiopulmonary ultrasound and evaluation of hemodynamics are helpful to evaluate the etiology,supervision and guiding treatment of AKI.
作者
王丽杰
刘春峰
Wang Lijie;Liu Chunfeng(Department of Pediatrics,Shengjing Hospital of China Medical University,Shenyang 110004,China)
出处
《中国小儿急救医学》
CAS
2021年第4期264-268,共5页
Chinese Pediatric Emergency Medicine
基金
辽宁省科技重大专项计划 (2020JH1/10300001)。
关键词
急性肾损伤
超声
肾阻力指数
评估
Acute kidney injury
Ultrasonography
Renal resistive index
Evaluation
