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ID:44180386
大小:56.00 KB
页数:17页
时间:2019-10-19
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1、AcuteRenalFailure2005-3-10HuashanHospital,FudanUniversity1DefinitionsRapiddeclineinGFR2ClassificationPrerenalARFIntrinsicrenalARFPostrenalARF3PrerenalARFIntravascularvolumedeletionDecreasedcardiacoutputSystemicvasodilatationRenalvasoconstrictionPharmacologicagents4IntrinsicARFDiseasesinvolvinglarger
2、enalvesselsDiseasesinvolvingrenalmicrovasculatureDiseasesofglomeruliDiseasescharacterizedbyinjurytorenaltubulesDiseasesofthetubulointerstitium5PostrenalARFUretericobstructionBladderneckobstructionUrethralobstruction6AcuteTubuleNecrosisEtiologyPathologyPathophysiologyClinicalfeaturesDifferentiationMa
3、nagement7EtiologyIschemiaExogenoustoxinsEndogenoustoxins8PathologyFocallossoftubularepitheliumcellsExposureofbasementmembraneLossofproximaltubularbrushborderNecrosisintheoutermedulla9PathophysiologyHemodynamicabnormalitiesTubuleobstructionBack-leakage10ClinicalFeaturesOliguricphasePolyuricphaseRecov
4、eryphase11OliguricPhaseOliguriaprogressivelyincreasedBUNandSCrDisordersoffluidandelectrolyteHemodynamicdisordersARDSMODSInfection12PolyuricPhasePolyuriaDecreasedBUNandSCr13RecoveryPhaseRenafunctionrecover14LaboratoryAssessmentofATNBloodtestUrinaryfindingsRenalbiopsy15DifferentiationFractionalexcreti
5、onofNaUrinaryNaconcentrationUrinarycreatinine/plasmacreatinineUrinaryspecificgravityUrineosmolalityPlasmaBUN/CrRenalfailureindex16ManagementPreventionMaintenanceoffluidandelectrolytebalanceProvisionofadequatenutritionTreatmentofinfectionTreatmentofuremia17
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