[多发性创伤与急性肾损伤：多学科方法]。

Q4 Medicine

Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia Pub Date : 2024-06-28 DOI:10.69097/41-03-2024-02

Antonio Giudicissi, Delia Apuzzo, Manlio Cosimo Claudio Meca, Fulvia Zanchelli, Lucia Neri, Paolo Ferdinando Bruno, Marco Ruggeri, Veronica Sgarlato, Sara Signorotti, Vanni Agnoletti, Andrea Buscaroli

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引用次数: 0

摘要

多发性创伤患者发生急性肾损伤（AKI）是一种常见的严重并发症，发生率为 6% 至 50%。多发性创伤是一种复杂的病理状况，需要不同专家的通力合作。一方面，通过液体疗法和氨支持来稳定血流动力学，并采用特定的攻击方案，由麻醉师进行管理。另一方面，必要时启动肾脏替代疗法，如连续性肾脏替代疗法（CRRT），由肾病专家负责。选择 CRRT 既是为了控制体液平衡，确保清除有毒物质，也是为了适当控制电解质和酸碱平衡。

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[Polytrauma and Acute Kidney Injury: A Multidisciplinary Approach].

The development of acute kidney injury (AKI) in polytrauma patients is a common and serious complication, with an incidence ranging from 6% to 50%. Polytrauma is a complex pathological condition that involves the collaboration of various specialists. On one hand, hemodynamic stabilization through fluid therapy and aminic support, with specific attack protocols, managed by anesthetists. On the other hand, if necessary, the initiation of renal replacement therapy such as Continuous Renal Replacement Therapy (CRRT), managed by nephrologists. CRRT is chosen both for managing fluid balance and ensuring the removal of toxic substances, as well as for proper control of electrolytes and acid-base balance.

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来源期刊

Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia Medicine-Medicine (all)

CiteScore

0.70

自引率

0.00%

发文量

期刊介绍： Il Giornale Italiano di Nefrologia (GIN) è la rivista di educazione continua della Società Italiana di Nefrologia SIN ed è pubblicato bimestralmente. E" il più autorevole organo di informazione nefrologia disponibile a livello nazionale. Il giornale Italiano di Nefrologia offre la più aggiornata informazione medico-scientifica rivolta al nefrologo sotto forma di rassegne, casi clinici e articoli finalizzati all’Educazione Continua in Medicina, oltre ai notiziari ed agli atti dei congressi di questa prestigiosa Società Scientifica