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APPLICATION OF NOVEL BIOMARKERS IN NATURALLY OCCURRING ACUTE KIDNEY INJURY

机译:新型生物标志物在天然存在的急性肾损伤中的应用

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Acute kidney injury (AKI) is characterized by an abrupt and sustained decrease in the glomerular fdtration rate (GFR). It is a common disorder in companion animals and humans, and is associated with high treatment costs as well as high morbidity and mortality. Four phases are currently recognized in AKI: initiation, progression, maintenance, and recovery. Using the common clinicopathologic markers (e.g., serum creatinine), the disease is characteristically recognized only in the maintenance phase, when clinical signs are overt.Despite advances in the management of AKI, including the introduction of renal replacement therapies, the mortality rate among human and animal patients remains unacceptably high. Over the past 50 years, mortality rates of human patients with AKI in intensive care units have remained as high as 70%.1 One of the speculated reasons for the high mortality is the late recognition of the disease and consequently the narrow window of opportunity for therapy. Therefore, there is a need to recognize the diseaseearly, before overt renal failure is evident, and when therapeutic intervention could potentially be more effective. The need for early diagnosis is further emphasized in veterinary medicine, because renal replacement therapies are not readily available.
机译:急性肾脏损伤(AKI)的特征在于肾小球FDTration率(GFR)突然和持续降低。它是伴侣动物和人类的常见疾病,与高治疗费用以及高发病率和死亡率有关。目前在AKI中识别出四个阶段:启动,进展,维护和恢复。使用常见的临床病理标记物(例如,血清肌酐),该疾病仅在维护阶段特征识别,当临床迹象是公开的,当AKI管理中的进步时,包括引入肾脏替代疗法,人类之间的死亡率动物患者保持不可接受。在过去的50年中,人类患者的重症监护单位的人类患者的死亡率仍高达70%.1高死亡率的推测原因之一是对该疾病的后期识别,因此狭窄的机会窗口治疗。因此,在公开肾功能衰竭明显之前,需要识别致病,并且当治疗干预可能更有效时。在兽医中进一步强调了对早期诊断的需求,因为肾脏替代疗法不易获得。

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