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充血性肾病。

Congestive Nephropathy.

机构信息

Departamento de Medicina y Cirugía, Facultad Ciencias de la Salud, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, Spain.

出版信息

Int J Environ Res Public Health. 2022 Feb 22;19(5):2499. doi: 10.3390/ijerph19052499.

DOI:10.3390/ijerph19052499
PMID:35270191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8909002/
Abstract

The complex interaction between cardiac and renal functions is known. However, when these functions are disrupted, many intricate and sensitive interactions between these organs are failed by several pathophysiological ways. As a result, this malfunction is clinically evident by sign and symptoms associated to intravascular and interstitial congestion. In this sense, the adverse impact of venous congestion on renal function has long been recognized. Currently, the presence of a specific subtype of nephropathy associated to congestion has been suggested. Even though no diagnosis criteria has been clearly stablished, and no renal specific histological pattern were reported; studies regarding this issue may help to improve the handling and therapeutic principles in affected patients.

摘要

心脏和肾功能之间的复杂相互作用是已知的。然而,当这些功能受到干扰时,这些器官之间的许多复杂而敏感的相互作用会通过几种病理生理途径失效。结果,这种功能障碍通过与血管内和间质充血相关的体征和症状在临床上表现明显。从这个意义上说,静脉充血对肾功能的不良影响早已被认识到。目前,已经提出了一种与充血相关的特定类型的肾病。尽管尚未明确建立诊断标准,也没有报告肾脏的特定组织学模式;但关于这个问题的研究可能有助于改善受影响患者的处理和治疗原则。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2557/8909002/a362ac151310/ijerph-19-02499-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2557/8909002/a362ac151310/ijerph-19-02499-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2557/8909002/a362ac151310/ijerph-19-02499-g001.jpg

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World J Crit Care Med. 2021 Nov 9;10(6):310-322. doi: 10.5492/wjccm.v10.i6.310.
2
Prognostic value of NT-proBNP and CA125 across glomerular filtration rate categories in acute heart failure.急性心力衰竭中不同肾小球滤过率类别下NT-proBNP和CA125的预后价值
Eur J Intern Med. 2022 Jan;95:67-73. doi: 10.1016/j.ejim.2021.08.024. Epub 2021 Sep 8.
3
Quantification and Treatment of Congestion in Heart Failure: A Clinical and Pathophysiological Overview.
床旁超声聚焦:静脉过多超声能否成为内科医生和重症医学医生的共同语言?
World J Crit Care Med. 2024 Jun 9;13(2):93206. doi: 10.5492/wjccm.v13.i2.93206.
4
Point-of-care ultrasound in diagnosis and management of congestive nephropathy.床旁超声在充血性肾病诊断与管理中的应用
World J Crit Care Med. 2023 Mar 9;12(2):53-62. doi: 10.5492/wjccm.v12.i2.53.
5
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Front Vet Sci. 2023 Feb 10;10:1115783. doi: 10.3389/fvets.2023.1115783. eCollection 2023.
心力衰竭中充血的量化与治疗:临床与病理生理学概述
Nefrologia (Engl Ed). 2021 Jul 18. doi: 10.1016/j.nefro.2021.04.006.
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Eur J Heart Fail. 2021 Sep;23(9):1445-1457. doi: 10.1002/ejhf.2295. Epub 2021 Jul 20.
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