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心肾功能障碍

Cardiorenal dysfunction.

作者信息

Merhaut Shawn, Trupp Robin J

机构信息

Society of Chest Pain Centers, Columbus, Ohio, USA.

出版信息

AACN Adv Crit Care. 2010 Oct-Dec;21(4):357-64; quiz 365-6. doi: 10.1097/NCI.0b013e3181f7b4db.

Abstract

Left ventricular dysfunction and renal dysfunction are common chronic conditions that frequently coexist in the same individual, and both are associated with significant morbidity and mortality. Disorders in 1 organ generally lead to dysfunction in the other, and this bidirectional interaction serves as the pathophysiological basis for cardiorenal syndrome (CRS). Until recently, CRS has been neither well defined nor well understood, making its diagnosis and treatment challenging for clinicians. This article presents the pathophysiology of CRS and the new classification for types of CRS, therapeutic interventions targeting CRS, and novel therapies on the basis of the 2010 Acute Dialysis Quality Initiative consensus conference recommendations.

摘要

左心室功能障碍和肾功能障碍是常见的慢性疾病,常并存于同一个体,且二者均与显著的发病率和死亡率相关。一个器官的功能紊乱通常会导致另一个器官功能障碍,这种双向相互作用是心肾综合征(CRS)的病理生理基础。直到最近,CRS既没有得到很好的定义,也没有被充分理解,这使得临床医生对其诊断和治疗颇具挑战性。本文根据2010年急性透析质量倡议共识会议的建议,介绍了CRS的病理生理学、CRS类型的新分类、针对CRS的治疗干预措施以及新疗法。

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