老年患者的慢性肾脏病
[Chronic kidney disease in the elderly patient].
作者信息
Mora-Gutiérrez José María, Slon Roblero María Fernanda, Castaño Bilbao Itziar, Izquierdo Bautista Diana, Arteaga Coloma Jesús, Martínez Velilla Nicolás
机构信息
Servicio de Nefrología, Clínica Universidad de Navarra, Pamplona, España; Instituto de Investigación Sanitaria de Navarra (IdiSNa), Pamplona, España.
Servicio de Nefrología, Complejo Hospitalario de Navarra, Pamplona, España.
出版信息
Rev Esp Geriatr Gerontol. 2017 May-Jun;52(3):152-158. doi: 10.1016/j.regg.2016.03.006. Epub 2016 May 6.
Chronic kidney disease (CKD) is widely prevalent worldwide, with a special impact on elderly population. Around half of people aged over 75 meet diagnostic criteria for CKD according to the recent 'Kidney disease improving global outcomes' (KDIGO) 2012 clinical practice guideline on the evaluation and management of CKD. However, geriatric patients have characteristics that may not be addressed by general guidelines. Therefore, it is important to know the natural history of the disease, symptoms, and 'red-flags' that could help in the management of these patients. In this review, a complete approach is presented on the pathophysiology, diagnosis, and treatment of CKD in the geriatric population.
慢性肾脏病（CKD）在全球广泛流行，对老年人群有特殊影响。根据最近的2012年“改善全球肾脏病预后”（KDIGO）慢性肾脏病评估与管理临床实践指南，75岁以上人群中约有一半符合CKD诊断标准。然而，老年患者具有一些一般指南可能未涉及的特征。因此，了解该疾病的自然病程、症状以及有助于这些患者管理的“警示信号”很重要。在本综述中，针对老年人群慢性肾脏病的病理生理学、诊断和治疗提出了一种全面的方法。
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