急性肾损伤定义及诊断标准的昨天 今天与明天

doi:10.3969/j.issn.1002-1949.2018.02.005

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摘要急性肾损伤（AKI）在ICU中有着较高的发病率和病死率。近年来，在既往AKI的诊断标准上进一步完善了其诊断与分级标准。从2004年的RIFLE标准到2007年的AKIN标准，再到最新的2012年的KDIGO标准。每一次诊断标准的修订必然伴随着AKI的发病机制、早期诊断、预防与治疗研究方面取得的一系列进展。随着技术手段更新，对于AKI疾病病理生理过程更进一步的认识，AKI诊断标准的更新也势在必行。本文着力于阐述过去AKI定义演变的历程，并预测将来AKI诊断标准可能的变化。

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	朱桂军
	胡振杰

收稿日期: 2017-10-12

通讯作者: 胡振杰（1964-），男，博士，主任医师，教授，硕士生导师，E-mail：syicu@vip.sina.com。

作者简介: 朱桂军（1972-），男，博士。

引用本文:

朱桂军，胡振杰. 急性肾损伤定义及诊断标准的昨天今天与明天[J]. 中国急救医学, 2018, 38(2): 114-117.
Zhou Gui-jun, Hu Zhen-jie. Defination and diagnostic criteria of acute kidney injury: yesterday, today and tomorrow. Chinese Journal of Critical Care Medicine, 2018, 38(2): 114-117.

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http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2018.02.005 或 http://www.cnemergency.org.cn/CN/Y2018/V38/I2/114

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