Department of Emergency Medicine, MacKay Memorial Hospital, Taipei 10449, Taiwan.
Department of Emergency Medicine, MacKay Memorial Hospital, Tamshui Branch, New Taipei City 251020, Taiwan.
Medicina (Kaunas). 2024 Aug 12;60(8):1302. doi: 10.3390/medicina60081302.
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.
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。