Siebeneck Mareike, Abu-Tair Mariam
Abteilung für Innere Medizin und Nephrologie, Ev. Klinikum Bethel (EvKB), Schildescher Str. 99, 33611, Bielefeld, Deutschland.
Inn Med (Heidelb). 2024 Aug;65(8):798-807. doi: 10.1007/s00108-024-01739-7. Epub 2024 Jul 16.
Emergencies in nephrology are mainly acute life-threatening situations for patients. Furthermore, one needs to consider constellations that are so damaging to the kidneys that the need for permanent dialysis develops within a short period of time. Acute kidney failure as an immediate consequence is categorized using the Acute Kidney Injury Network (AKIN) stages and is pathophysiologically subdivided into pre-, intra- and post-renal. This leads to changes in volume status, acid base and electrolytes, while the terms nephrotic and nephritic describe the amount of kidney damage and help to choose diagnostic steps wisely. Patients that are already undergoing dialysis treatment or have received a kidney transplant are a further specific group in the case of emergencies.
肾脏病急症主要是对患者有急性生命威胁的情况。此外,还需要考虑那些对肾脏损害极大以至于在短时间内就需要进行永久性透析的情况。急性肾衰竭作为直接后果,可根据急性肾损伤网络(AKIN)分期进行分类,在病理生理学上可细分为肾前性、肾性和肾后性。这会导致容量状态、酸碱和电解质的变化,而肾病综合征和肾炎这两个术语描述了肾脏损害的程度,有助于明智地选择诊断步骤。对于急症情况,已经接受透析治疗或接受了肾移植的患者是另一类特殊群体。