Timing of initiation and discontinuation of renal replacement therapy in children with acute kidney injury
10.3760/cma.j.issn.2095-428X.2018.05.004
- VernacularTitle:儿童急性肾损伤肾脏替代疗法开机及停机指征
- Author:
Mai XUN
1
;
Zhihui LI
Author Information
1. 410007长沙,湖南省儿童医院肾脏风湿科,南华大学儿科学院
- Keywords:
Acute kidney injury;
Renal replacement therapy;
Initiation timing;
Discontinuation timing;
Child
- From:
Chinese Journal of Applied Clinical Pediatrics
2018;33(5):334-337
- CountryChina
- Language:Chinese
-
Abstract:
Renal replacement therapy(RRT)is the most effective treatment for patient with severe acute kid-ney injury(AKI).But the timing of initiation of RRT remains controversial.In recent years,there has been an ongoing trend in clinical practice to initiate RRT for AKI earlier especially for patient with AKI stage 2 and severe fluid accumu-lation.There is no single target can predict the timing of discontinuation of RRT,combined use biomarker and urine volume may be a better choice in future.