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心肾综合征。

Cardiorenal Syndrome.

机构信息

Department of Cardiology and Cardiac Surgery, Pediatric Cardiac Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, P.zza S.Onofrio 4, Rome 00165, Italy; Department of Health Science, University of Florence, Florence, Italy.

Department of Health Science, University of Florence, Florence, Italy; Department of Anesthesiology and Intensive Care, Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla, 3, Florence 50139, Italy. Electronic address: https://twitter.com/StefanoRomagno9.

出版信息

Crit Care Clin. 2021 Apr;37(2):335-347. doi: 10.1016/j.ccc.2020.11.003. Epub 2021 Feb 13.

Abstract

Cardiorenal syndrome (CRS) describes a specific acute and chronic clinical picture in which the heart or the kidney are primarily dysfunctioning and secondarily affect each other. CRS is divided into five classes: acute and chronic CRS, acute and chronic renocardiac syndromes, and secondary dysfunction of heart and kidneys. This article specifically details the classification and the epidemiology, some risk factors, and the pathophysiology of CRS. Some emerging aspects of CRS are also discussed, such as CRS in patients with end-stage heart failure, with mechanical ventricular assistance, and after heart transplantation. Finally, some aspects of pediatric CRS are detailed.

摘要

心脏肾综合征(CRS)描述了一种特定的急性和慢性临床情况,其中心脏或肾脏主要功能障碍,其次相互影响。CRS 分为五类:急性和慢性 CRS、急性和慢性肾心综合征以及心脏和肾脏的继发性功能障碍。本文详细介绍了 CRS 的分类和流行病学、一些危险因素以及 CRS 的病理生理学。还讨论了 CRS 的一些新出现的方面,例如终末期心力衰竭、机械心室辅助和心脏移植后的 CRS。最后,详细介绍了儿科 CRS 的一些方面。

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