临床荟萃

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腹腔高压与肾灌注

  

  1. 首都医科大学附属北京同仁医院 重症医学科,北京 100730
  • 出版日期:2019-07-20 发布日期:2019-08-24
  • 通讯作者: 何伟,Email:icuhe@163.com
  • 作者简介:何伟,中国病理生理学会危重病专业委员会青年委员,北京医学会重症医学分会青年委员,中国重症超声研究组(CCUSG)副组长,北京重症超声研究会副会长,BASIC认证教师。主要研究方向:重症超声,危重症病人营养支持治疗。

Intraabdominal hypertension and renal perfusion

  1. Department of Intensive Care Unit,Beijing Tongren Hospital,Capital  Medical University,Beijing 100730,China
  • Online:2019-07-20 Published:2019-08-24
  • Contact: Corresponding author:He Wei,Email:icuhe@163.com

摘要: 腹腔高压通过一系列机制对肾血流及灌注产生影响,从而引起一系列病理生理变化,从局部血流紊乱开始,最终导致明显的器官功能衰竭。了解肾血流及灌注的生理学以及腹腔高压时肾血流动力学变化的病理生理学是重要的,这有助于早期识别腹腔高压造成的肾功能不全。超声、CT、MRI等影像学技术可帮助我们早期评估肾血流及灌注变化,促进早期干预,对于腹腔高压时急性肾损伤的早期诊断和保护肾功能具有重要的临床意义。

关键词: 肾功能不全, 腹内高压, 肾血流, 肾灌注

Abstract: Intraabdominal hypertension affects renal blood flow and perfusion through a series of mechanisms,  resulting in a series of pathophysiological changes,  which start from local blood flow disorders,  and end with  serious organ failure. It is important to understand the physiology of renal blood flow and perfusion as well as the pathophysiology of renal hemodynamic changes in patients with intraabdominal hypertension,  which is helpful for early identification of renal insufficiency caused  by  intraabdominal hypertension. Ultrasound,  CT,  and MRI can be  adopted to evaluate the changes of renal blood flow and perfusion in early stage,  and promote early intervention,  which are of  great clinical significance for early diagnosis and protection of renal function in acute kidney injury caused by intraabdominal hypertension.

Key words: renal insufficiency, intraabdominal hypertension, renal blood flow, renal perfusion