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造影剂肾病的生物标志物:哪些具有临床重要性?

Biomarkers of Contrast-Induced Nephropathy:: Which Ones are Clinically Important?

机构信息

Interventional Cardiology Unit, Mediterranea Cardiocentro, Via Orazio 2, Naples 80121, Italy.

IRCCS, SDN, Via Gianturco 113, Naples 80143, Italy.

出版信息

Interv Cardiol Clin. 2020 Jul;9(3):335-344. doi: 10.1016/j.iccl.2020.02.004. Epub 2020 May 12.

Abstract

Contrast-induced acute kidney injury (CI-AKI) is a common complication after intravascular injection of iodinated contrast media, and it is associated with a prolonged in-hospital stay and unfavorable outcome. CI-AKI occurs in 5% to 20% among hospitalized patients. Its diagnosis relies on the increase in serum creatinine levels, which is a late biomarker of kidney injury. Novel and early serum and urinary biomarkers have been identified to detect kidney damage before the expected serum creatinine increase.

摘要

对比剂诱导的急性肾损伤(CI-AKI)是血管内注射碘造影剂后常见的并发症,与住院时间延长和不良预后相关。CI-AKI 在住院患者中的发生率为 5%至 20%。其诊断依赖于血清肌酐水平的升高,这是肾脏损伤的晚期生物标志物。已经发现了新的早期血清和尿液生物标志物,以在预期的血清肌酐升高之前检测肾脏损伤。

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