Military training-related acute kidney injury / 解放军医学杂志

ABSTRACT

Military training-related acute kidney injury (MTRAKI) is a common and frequently occurring disease during training in war and peacetime, and severe MTRAKI may cause death and seriously affect the combat effectiveness of the army. The present paper focuses on the clinical features of MTRAKI, including clinical manifestations, classification and diagnosis, and also summarizes the predisposing factors, including the increase in training intensity, the decline in physical fitness of training personnel, environmental factors, nutritional status, energy intake level and genetic susceptibility. And the pathogenesis of MTRAKI was also discussed. It is believed that the redistribution of blood caused by military training can cause kidney ischemia, oxidative stress, inflammation and apoptosis, thus to cause or aggravate MTRAKI. For critically ill patients, continuous renal replacement therapy (CRRT) can better stabilize the internal environment, remove toxins and inflammatory mediators, and greatly reduce mortality. The purpose of present paper is to improve the understanding of MTRAKI, reduce the incidence, and achieve early detection and timely treatment.