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与腹腔内压力升高相关的急性肾衰竭

Acute renal failure associated with increased intra-abdominal pressure.

作者信息

Richards W O, Scovill W, Shin B, Reed W

出版信息

Ann Surg. 1983 Feb;197(2):183-7. doi: 10.1097/00000658-198302000-00010.

DOI:10.1097/00000658-198302000-00010
PMID:6600601
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1353107/
Abstract

Anuric renal failure developed in four patients in association with increased intra-abdominal pressure from postoperative hemorrhage. Polyuria and resolution of the renal failure occurred in each patient in response to operative decompression of the abdomen. Renal failure secondary to increased intra-abdominal pressure has been previously produced experimentally in dogs by the intraperitoneal installation of graded amounts of saline. This is the first report of this type of renal failure in clinical practice.

摘要

4例患者因术后出血导致腹腔内压力升高,继而出现无尿性肾衰竭。对每例患者进行腹部手术减压后,均出现多尿且肾衰竭症状缓解。先前通过向犬腹腔内注入不同量生理盐水的实验,已引发腹腔内压力升高继发的肾衰竭。本文是关于此类肾衰竭在临床实践中的首例报道。

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本文引用的文献

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THE EFFECT OF INCREASED INTRA-ABDOMINAL PRESSURE ON RENAL FUNCTION IN MAN.腹内压升高对人体肾功能的影响
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2
RENAL CIRCULATION IN CIRRHOSIS: OBSERVATIONS BASED ON CATHETERIZATION OF THE RENAL VEIN.肝硬化时的肾循环:基于肾静脉插管的观察
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Hemodynamic effect of increased abdominal pressure.腹腔压力升高的血流动力学效应。
J Surg Res. 1981 Mar;30(3):249-55. doi: 10.1016/0022-4804(81)90156-6.
4
The effect of abdominal pressure on plasma antidiuretic hormone levels in the dog.腹部压力对犬血浆抗利尿激素水平的影响。
J Surg Res. 1982 Jan;32(1):65-9. doi: 10.1016/0022-4804(82)90186-x.
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Hemodynamics in the cirrhotic patient during paracentesis.
N Engl J Med. 1967 Mar 2;276(9):491-6. doi: 10.1056/NEJM196703022760903.
6
Elevation of the pressure in the abdominal inferior vena cava as a cause of a hepatorenal syndrome in cirrhosis.腹部下腔静脉压力升高作为肝硬化肝肾综合征的一个病因
Surgery. 1966 Jun;59(6):1135-46.
7
Renal decapsulation in the prevention of post-ischemic oliguria.肾被膜剥除术预防缺血后少尿
Ann Surg. 1977 Sep;186(3):343-55. doi: 10.1097/00000658-197709000-00012.
8
Cerebral blood-flow and polycythaemia.脑血流量与红细胞增多症
Lancet. 1978 Jan 21;1(8056):152-3. doi: 10.1016/s0140-6736(78)90449-x.