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Korean J Med > Volume 88(4); 2015 > Article
The Korean Journal of Medicine 2015;88(4): 369-374.
중환자의 급성 신손상
이은경1, 장재원2
1단국대학교 의과대학 내과학교실
2울산대학교 의과대학 내과학교실
Acute Kidney Injury in Critically Ill Patients
Eun Kyoung Lee1, Jai Won Chang2
1Department of Internal Medicine, 1Dankook University College of Medicine, Cheonan, Korea
2University of Ulsan College of Medicine, Seoul, Korea
Corresponding Author: Jai Won Chang ,Tel: +82-2-3010-3260, Fax: +82-2-3010-6963, Email: jwchang@amc.seoul.kr
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Despite substantial advances in dialysis techniques and machines, acute kidney injury (AKI) requiring renal replacement therapy (RRT) is still associated with up to 60% in-hospital mortality. However, there is little information on whether RRT overcomes the significant morbidity and mortality of AKI. What is most important in the treatment of AKI is that RRT is not a cause-specific therapy but life-supportive management. This review discusses the indications of, proper initiation of, and optimal prescription for RRT to improve the survival of critically ill patients with AKI.
Keywords: Renal replacement therapy; Acute kidney injury
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