杨晓玲, 袁琪茜, 董晨明. 生物标志物在脓毒症急性肾损伤早期诊断的应用价值[J]. 临床肾脏病杂志, 2021, 21(9): 771-775. DOI: 10.3969/j.issn.1671-2390.2021.09.013
    引用本文: 杨晓玲, 袁琪茜, 董晨明. 生物标志物在脓毒症急性肾损伤早期诊断的应用价值[J]. 临床肾脏病杂志, 2021, 21(9): 771-775. DOI: 10.3969/j.issn.1671-2390.2021.09.013
    Yang Xiao-ling, Yuan Qi-xi, Dong Chen-ming. Application value of biomarkers for an early diagnosis of sepsis associated acute renal injury[J]. Journal of Clinical Nephrology, 2021, 21(9): 771-775. DOI: 10.3969/j.issn.1671-2390.2021.09.013
    Citation: Yang Xiao-ling, Yuan Qi-xi, Dong Chen-ming. Application value of biomarkers for an early diagnosis of sepsis associated acute renal injury[J]. Journal of Clinical Nephrology, 2021, 21(9): 771-775. DOI: 10.3969/j.issn.1671-2390.2021.09.013

    生物标志物在脓毒症急性肾损伤早期诊断的应用价值

    Application value of biomarkers for an early diagnosis of sepsis associated acute renal injury

    • 摘要: 脓毒症是由于宿主对感染的反应失调而导致危及生命的器官功能障碍。肾脏作为严重脓毒症的常见受损靶器官之一,发病率高,预后极差。如不能早期诊断,可显著增加患者治疗难度及病死率,使肾脏替代治疗(renal replacement therapy,RRT)使用率增加,机械通气、重症监护病房住院时间延长、增加医疗费用以及消耗医疗资源。因此,早期诊断脓毒症所致的急性肾损伤(sepsis associated acute kidney injury,SAAKI)并及时干预可能是改善患者预后的关键。当前,依赖血肌酐及尿量的诊断标准存在一定的局限性,因此寻找准确有效的早期生物标志物已经成为重症医学领域临床研究的当务之急。本文对临床上SAAKI早期诊断研究较热的生物标志物进行综述。

       

      Abstract: Sepsis is a life-threatening organ dysfunction caused by the host's maladjustment to infection. Kidney is one of the common target organs of severe sepsis with a high incidence rate and worse prognosis. If an early diagnosis is made in time, it can significantly boost the difficulty of treatment and mortality, enhance the utilization rate of renal replacement therapy(RRT), prolong the length of stay in intensive care unit(ICU), increase medical expenditures and consume medical resources. Therefore an early diagnosis and timely intervention may be the key to improving the prognosis of septic patients. Currently there are some limitations in the diagnostic criteria depending upon serum creatinine and urine volume. Therefore it is imperative to identify accurate and effective early biomarkers in critical care medicine. This review summarized popular biomarkers for making an early diagnosis of sepsis during acute kidney injury.

       

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