Sahni Vaibhav, Choudhury Devasmita, Ahmed Ziauddin
Drexel University College of Medicine, Philadelphia, PA 19102-1192, USA.
Nat Rev Nephrol. 2009 Aug;5(8):450-62. doi: 10.1038/nrneph.2009.97. Epub 2009 Jun 30.
The presence of renal dysfunction in a patient receiving chemotherapy can be devastating. Although many patients with cancer have underlying compromised renal function, some chemotherapeutic agents can actually induce renal abnormalities. An understanding of which traditional and newer chemotherapy agents can affect renal function is useful for physicians so that they can monitor patients for renal abnormalities and initiate preventive strategies to minimize renal complications. This Review highlights renal abnormalities associated with current chemotherapy agents and provides suggestions for preventive measures.
接受化疗的患者出现肾功能障碍可能是灾难性的。尽管许多癌症患者存在潜在的肾功能受损,但一些化疗药物实际上可诱发肾脏异常。了解哪些传统和新型化疗药物会影响肾功能,对医生很有用,这样他们就可以监测患者是否出现肾脏异常,并启动预防策略以尽量减少肾脏并发症。本综述重点介绍了与当前化疗药物相关的肾脏异常,并提供了预防措施建议。