Bennett W M, Porter G A
Division of Nephrology and Hypertension, Oregon Health Sciences University, Portland.
Urol Clin North Am. 1990 Feb;17(1):145-56.
Many clinically popular drugs, such as aminoglycoside antibiotics, amphotericin B, radiographic contrast media, analgesics, platinum-based cancer chemotherapy, and cyclosporine, can cause deterioration of kidney function even when the dose has been adjusted properly for renal insufficiency. The authors review the pathophysiologic mechanisms of nephrotoxicity of these drugs and prevention and treatment strategies.
许多临床常用药物,如氨基糖苷类抗生素、两性霉素B、放射造影剂、镇痛药、铂类癌症化疗药物和环孢素,即使已根据肾功能不全适当调整剂量,仍可导致肾功能恶化。作者综述了这些药物肾毒性的病理生理机制以及预防和治疗策略。