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Focus on oliguria during renal replacement therapy

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收录情况： ◇ SCIE

作者：

机构： [1]Department of Intensive Care Unit (ICU), The Afliated Hospital of Guizhou Medical University, Guiyang, Guizhou 550004, People’s Republic of China [2]Department of Intensive Care Unit (ICU), Peking Union Medical College Hospital, Beijing 100005, People’s Republic of China [3]Department of Intensive Care Unit (ICU), The First Afliated Hospital of Tsinghua University, Beijing 100016, People’s Republic of China [4]Department of Intensive Care Unit (ICU), The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050011, People’s Republic of China

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关键词： Oliguria Renal replacement therapy Renal oxygen delivery Renal oxygen consumption Acute kidney injury

摘要：

Oliguria is a clinical symptom characterized by decreased urine output, which can occur at any stage of acute kidney injury and also during renal replacement therapy. In some cases, oliguria may resolve with adjustment of blood purification dose or fluid management, while in others, it may suggest a need for further evaluation and intervention. It is important to determine the underlying cause of oliguria during renal replacement therapy and to develop an appropriate treatment plan. This review looks into the mechanisms of urine production to investigate the mechanism of oliguria during renal replacement therapy from two aspects: diminished glomerular filtration rate and tubular abnormalities. The above conditions all implying a renal oxygen supply-demand imbalance, which is the signal of worsening kidney injury. It also proposes a viable clinical pathway for the treatment and management of patients with acute kidney injury receiving renal replacement therapy.© 2024. The Author(s).

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中科院分区：

出版当年[2025]版：

大类 | 3 区医学

小类 | 3 区麻醉学

最新[2025]版：

大类 | 3 区医学

小类 | 3 区麻醉学

JCR分区：

出版当年[2024]版：

Q2 ANESTHESIOLOGY

最新[2024]版：

Q2 ANESTHESIOLOGY

影响因子： 2.7 最新[2024版] 2.9 最新五年平均 2.7 出版当年[2024版] 2.9 出版当年五年平均 2.8 出版前一年[2023版]

第一作者：

第一作者机构： [1]Department of Intensive Care Unit (ICU), The Afliated Hospital of Guizhou Medical University, Guiyang, Guizhou 550004, People’s Republic of China

通讯作者：

通讯机构： [4]Department of Intensive Care Unit (ICU), The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050011, People’s Republic of China

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Focus on oliguria during renal replacement therapy

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