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内科医生的肾脏病学关键信息。

Nephrology key information for internists.

作者信息

Salim Sohail Abdul, Medaura Juan A, Malhotra Bharat, Garla Vishnu, Ahuja Shradha, Lawson Nicki, Pamarthy Amaleswari, Sonani Hardik, Kovvuru Karthik, Palabindala Venkataraman

机构信息

Division of Nephrology, University of Mississippi Medical Center, Jackson, MS, USA.

Division of Hospital Medicine, School of Medicine, Jackson, MS, USA.

出版信息

J Community Hosp Intern Med Perspect. 2017 Jun 6;7(2):70-72. doi: 10.1080/20009666.2017.1325636. eCollection 2017 Mar.

Abstract

Hospitalists and primary care physicians encounter renal disease daily. Although most cases of acute kidney injury (AKI) are secondary to dehydration and resolve by giving fluids, many cases of AKI are due to not uncommon but unfamiliar causes needing nephrology evaluation. Common indications to consult a nephrologist on an emergency basis include hyperkalemia or volume overload in end stage renal disease patients (ESRD). Other causes of immediate consultation are cresenteric glomerulonephritis / rapidly progressive glomerulonephritis in which renal prognosis of the patient depends on timely intervention. The following evidence-based key information could improve patient care and outcomes. AKI: Acute kidney injury ESRD: End stage renal disease patients.

摘要

住院医师和初级保健医生每天都会遇到肾脏疾病。虽然大多数急性肾损伤(AKI)病例继发于脱水,通过补液即可缓解,但许多AKI病例是由一些并不罕见但却不为人熟知的病因引起的,需要肾病科进行评估。紧急咨询肾病科医生的常见指征包括终末期肾病(ESRD)患者的高钾血症或容量超负荷。需要立即咨询的其他病因是新月体性肾小球肾炎/快速进展性肾小球肾炎,患者的肾脏预后取决于及时干预。以下基于证据的关键信息可改善患者护理及治疗结果。AKI:急性肾损伤;ESRD:终末期肾病患者

相似文献

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Nephrology key information for internists.内科医生的肾脏病学关键信息。
J Community Hosp Intern Med Perspect. 2017 Jun 6;7(2):70-72. doi: 10.1080/20009666.2017.1325636. eCollection 2017 Mar.

本文引用的文献

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The kidney in sickle hemoglobinopathies
.镰状血红蛋白病中的肾脏
Clin Nephrol. 2017 Feb;87 (2017)(2):55-68. doi: 10.5414/CN108991.
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The Gamma Gap and All-Cause Mortality.γ间隙与全因死亡率
PLoS One. 2015 Dec 2;10(12):e0143494. doi: 10.1371/journal.pone.0143494. eCollection 2015.
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Sickle cell nephropathy - a practical approach.镰状细胞肾病 - 一种实用的方法。
Br J Haematol. 2011 Nov;155(3):287-97. doi: 10.1111/j.1365-2141.2011.08853.x. Epub 2011 Sep 9.

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