Continuous renal replacement therapy (CRRT) has become a crucial treatment for critical acute kidney injury (AKI) patients. With the widespread application of CRRT, the need for standardized evaluation and control of CRRT medical quality has emerged as a significant issue in nephrology and related fields. This article reviews the development of CRRT, from its origins to technological advancements and current widespread use, explores the framework for evaluating CRRT medical quality, emphasizes the importance of balancing efficacy and safety, and provides recommendations for improving medical quality including the formation of multidisciplinary teams and goal-directed renal replacement therapy to ensure the efficacy and safety.
连续性肾脏替代治疗(CRRT)是危重急性肾损伤(AKI)患者的主要治疗手段。随着CRRT技术的广泛应用,如何规范评价和控制CRRT的医疗质量,成为肾脏科及相关学科的重要临床课题。本文回顾了CRRT的发展历程,从技术起源到发展,再到广泛应用的现状,强调必须兼顾技术的有效性与安全性,提出CRRT医疗质量评价的建议,倡导组建跨学科团队,实施目标导向的CRRT治疗策略,以确保治疗的有效性与安全性。.