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中毒性急性肾损伤:综述。

Poisoning-Induced Acute Kidney Injury: A Review.

机构信息

Department of Emergency Medicine, MacKay Memorial Hospital, Taipei 10449, Taiwan.

Department of Emergency Medicine, MacKay Memorial Hospital, Tamshui Branch, New Taipei City 251020, Taiwan.

出版信息

Medicina (Kaunas). 2024 Aug 12;60(8):1302. doi: 10.3390/medicina60081302.

Abstract

Acute kidney injury (AKI) is a debilitating, multi-etiological disease that is commonly seen in clinical practice and in the emergency department. In this review, we introduce the definition, symptoms, and causes of poisoning-related AKI; we also discuss its mechanisms, risk factors, and epidemiology, as well as elaborate on the relevant laboratory tests. Subsequently, we discuss the treatment strategies for toxin- and substance-related AKI caused by Glafenin, antimicrobial agents, lithium, contrast media, snake venom, herbicides, ethylene glycol, synthetic cannabinoids, cocaine, heroin, and amphetamines. Finally, for a comprehensive overview of poisoning-related AKI, we review the management, prevention, and outcomes of this condition.

摘要

急性肾损伤(AKI)是一种在临床实践和急诊科中常见的、使人虚弱的、多病因的疾病。在这篇综述中,我们介绍了与中毒相关的 AKI 的定义、症状和原因;我们还讨论了其机制、危险因素和流行病学,并详细阐述了相关的实验室检查。随后,我们讨论了与 Glafenin、抗菌药物、锂、造影剂、蛇毒、除草剂、乙二醇、合成大麻素、可卡因、海洛因和安非他命相关的毒素和物质引起的 AKI 的治疗策略。最后,为了全面了解与中毒相关的 AKI,我们回顾了这种情况的管理、预防和结果。

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本文引用的文献

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Bongkrekic acid contaminated food, a life-threatening meal.受米酵菌酸污染的食物,一顿危及生命的餐食。
Am J Emerg Med. 2024 Aug;82:209-210. doi: 10.1016/j.ajem.2024.05.027. Epub 2024 May 31.
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Lithium-Associated Kidney Failure: Predictors and Outcomes.锂相关性肾衰竭:预测因素与结局
Kidney Int Rep. 2024 Feb 2;9(5):1276-1283. doi: 10.1016/j.ekir.2024.01.047. eCollection 2024 May.

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