Anest. intenziv. Med. 2005;16(1):35-42

Akutní selhání ledvin a jeho současná léčbaIntensive Care Medicine

I. Novák, M. Matějovič, A. Kroužecký, J. Raděj
JIP, I. interní klinika, Fakultní nemocnice a Lékařská fakulta UK, Plzeň

Akutní renální selhání (ARF) se vyskytuje u 5-20 % kriticky nemocných na jednotkách intenzivní péče (JIP/ARO) a signifikantním způsobem ovlivňuje mortalitu a morbiditu, zejména jako součást multiorgánové dysfunkce/selhání (MODS) [1, 2]. ARF je třetí nejčastěji se vyskytující orgánovou dysfunkcí u kriticky nemocných v souvislosti s těžkou sepsí/septickým šokem a v konečném výsledku výrazně zhoršuje prognózu nemocných quo ad vitam, a sice u nemocných, u nichž bylo nutné použít podporu nebo náhradu funkce ledvin [3, 4]. U nemocných s MODS může časné rozpoznání akutní renální dysfunkce/selhání a časně zahájená podpora nebo náhrada funkce ledvin pozitivně ovlivnit potenciální progresi ARF, rozvoj komplikací a ve svém důsledku zvýšit i šanci na přežití [5, 6].

Published: February 1, 2005  Show citation

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Novák I, Matějovič M, Kroužecký A, Raděj J. Akutní selhání ledvin a jeho současná léčba. Anest. intenziv. Med. 2005;16(1):35-42.
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