Lameire N
Acta Clin Belg. 2014 Dec;69(6):418-25. doi: 10.1179/0001551214Z.00000000087.
This paper summarizes the impact that wars had on the history of nephrology, both worldwide and in the Ghent Medical Faculty notably on the definition, research and clinical aspects of acute kidney injury. The paper briefly describes the role of 'trench nephritis' as observed both during World War I and II, supporting the hypothesis that many of the clinical cases could have been due to Hantavirus nephropathy. The lessons learned from the experience with crush syndrome first observed in World War II and subsequently investigated over many decades form the basis for the creation of the Renal Disaster Relief Task Force of the International Society of Nephrology. Over the last 15 years, this Task Force has successfully intervened both in the prevention and management of crush syndrome in numerous disaster situations like major earthquakes.
本文总结了战争对肾脏病学历史的影响，包括全球范围以及根特医学院的情况，尤其涉及急性肾损伤的定义、研究和临床方面。本文简要描述了第一次世界大战和第二次世界大战期间观察到的“战壕肾炎”的作用，支持了许多临床病例可能是由汉坦病毒肾病引起的这一假设。从第二次世界大战首次观察到并随后经过数十年研究的挤压综合征经验中吸取的教训，构成了国际肾脏病学会肾脏灾难救援特别工作组成立的基础。在过去15年里，该特别工作组已成功在诸多灾难情况（如大地震）中对挤压综合征的预防和管理进行了干预。
