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2015年国际腹水俱乐部共识建议：肝硬化患者急性肾损伤的诊断与管理

2016-06-02 国际腹水俱乐部 临床肝胆病杂志, 2015, 31(7): 1018-1022

腹水肝硬化

发布日期：2015-07-10 英文标题：Diagnosis and management of acute kidney injury in patients with cirrhosis: revised consensus recommendations of the International Club of Ascites　 制定者：国际腹水俱乐部 作者：王帅 译，胡大荣 审校

中文标题：

2015年国际腹水俱乐部共识建议：肝硬化患者急性肾损伤的诊断与管理

发布机构：

国际腹水俱乐部

发布日期：

2016-06-02

简要介绍：

发布日期：2015-07-10
英文标题：Diagnosis and management of acute kidney injury in patients with cirrhosis: revised consensus recommendations of the International Club of Ascites　
制定者：国际腹水俱乐部
作者：王帅 译，胡大荣 审校
出处：临床肝胆病杂志, 2015, 31(7): 1018-1022　
内容介绍：
急性肾衰竭(acute kidney failure，ARF)是失代偿期肝硬化患者的常见并发症之一。肝硬化患者肾衰竭的诊断标准于1996年颁布，此后又多次进行更新｡在这些标准中，ARF被定义为血清肌酐(SCr)升高基线水平的50%以上，并最终升至1.5 mg/dl(133 μmol/L)以上。然而，将失代偿期肝硬化患者肾衰竭的SCr临界值定为1.5 mg/dl(133 μmol/L)争议颇多。而且，除了Ⅰ型肝肾综合征(hepatorenal syndrome，HRS)以外，急、慢性肾衰竭的时限界定也未明确。同时，非肝硬化患者ARF的新标准已被提议并确定，其命名亦被急性肾损伤(AKI)所代替。近年来，这些新标准也被部分专家推荐应用于肝硬化患者AKI的诊断。鉴于此，国际腹水俱乐部(International Club of Ascites，ICA)于2012年11月在意大利威尼斯召开共识会议，主题即为确定肝硬化患者AKI的新定义。由于专家在此问题的关键点上意见不一，他们通过在线或会议等方式讨论了2年之久。 本文介绍了肝硬化患者AKI诊断及治疗的最新推荐建议，此建议具有充分的科学证据支持，也得到了绝大多数专家的认可。


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2015年国际腹水俱乐部共识建议：肝硬化患者急性肾损伤的诊断与管理
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    2021-10-19 湘雅科教

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    2021-10-19 湘雅科教

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  3. [GetPortalCommentsPageByObjectIdResponse(id=1061960, encodeId=b4b4106196010, content=非常好的文章，受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:57:33 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061950, encodeId=8c8d10619506b, content=非常好的文章，受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:56:02 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061945, encodeId=31f51061945d4, content=非常好的文章，受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:55:08 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061910, encodeId=e78410619104c, content=非常好的文章，受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:47:29 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061907, encodeId=48e7106190eb5, content=非常好的文章，受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:45:15 CST 2021, time=2021-10-19, status=1, ipAttribution=)]
    2021-10-19 湘雅科教

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  4. [GetPortalCommentsPageByObjectIdResponse(id=1061960, encodeId=b4b4106196010, content=非常好的文章，受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:57:33 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061950, encodeId=8c8d10619506b, content=非常好的文章，受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:56:02 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061945, encodeId=31f51061945d4, content=非常好的文章，受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:55:08 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061910, encodeId=e78410619104c, content=非常好的文章，受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:47:29 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061907, encodeId=48e7106190eb5, content=非常好的文章，受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:45:15 CST 2021, time=2021-10-19, status=1, ipAttribution=)]
    2021-10-19 湘雅科教

    非常好的文章，受益匪浅。

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  5. [GetPortalCommentsPageByObjectIdResponse(id=1061960, encodeId=b4b4106196010, content=非常好的文章，受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:57:33 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061950, encodeId=8c8d10619506b, content=非常好的文章，受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:56:02 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061945, encodeId=31f51061945d4, content=非常好的文章，受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:55:08 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061910, encodeId=e78410619104c, content=非常好的文章，受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:47:29 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061907, encodeId=48e7106190eb5, content=非常好的文章，受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:45:15 CST 2021, time=2021-10-19, status=1, ipAttribution=)]
    2021-10-19 湘雅科教

    非常好的文章，受益匪浅。

    0