文档介绍:急性肾损伤(AKI)与急性肾衰竭(ARF)
国际肾脏病和急救医学界将ARF 改为急性肾损伤(Acute Kidney Injury, AKI)。
AKI 覆盖的肾损伤
Warnock DG. J Am Soc Nephrol 16:3149-3150,2006
Biesen WV et al. CJASN. 2006
GFR正常伴肾脏损伤的标志物改变
GFR开始下降
GFR明显异常
Incidence: AKI
Hsu et al , JASN 2013, 24:37-42
Incidence: AKI By Age
Hsu et al , JASN 2013, 24:37-42
AKI and Survival
Hsu et al , JASN 2013, 24:37-42
Does AKI Lead to CKD ?
The higher the serum creatinine
The longer the duration of AKI
Recurrent AKI
* Strongly Associated with CKD and Death
AKI and CKD
Chawla et al. Kid Int. 2012;82: 516-524
RIFLE Criteria for Acute Kidney Injury
Modified RIFLE as Proposed by AKIN
AKI流行病学现状
患病率:1%(社区)~ %(医院)
人群发病率:486~630 pmp/y
AKI需要RRT发病率:22~203pmp/y
医院获得AKI死亡率:10~80%
合并多脏器功能衰竭死亡率:>50%
需要RRT治疗者死亡率:高达80%