超滤在心肾综合征中的应用进展

Recent progresses in the application of ultrafiltration in cardiorenal syndrome

临床工作中,心脏疾病与肾脏疾病常常共同存在,相互影响,以单一器官为中心的治疗已经不足以解决这种多器官间相互作用的疾病,因此心肾综合征的概念被提出,液体超载和静脉充血是心肾综合征亟待解决的问题,超滤或许是静脉利尿剂无效后的最佳治疗策略。

Heart disease and kidney disease are often co-existed and interacted each other clinically.The therapy focused on a single organ is inappropriate to treat the diseases with multiple organ interactions.The concept of cardiorenal syndrome is therefore proposed.In this syndrome,fluid overload and venous congestion are critical issues to be solved,and ultrafiltration may be the best strategy after unresponsiveness of intravenous diuretics.