Choudhury D, Ahmed Z
Renal Section, Wilmington Veterans Affairs Medical Center, Delaware, USA.
Med Clin North Am. 1997 May;81(3):705-17. doi: 10.1016/s0025-7125(05)70541-1.
Drug-induced renal dysfunction is not an uncommon event, which can cause significant morbidity and can be easily overlooked. Many medications can lead to renal dysfunction through various mechanisms. The most common medications or classes of medications along with their clinical presentations are discussed in this article. As can be noted, many drugs can cause nephropathy in more than one way. Because it is difficult to discuss nephrotoxicities of every reported medication, Tables 1, 2, and 3 are provided; although these tables are by no means comprehensive, they may serve as further reference. This article is intended to provide a broad overview of the spectrum of presentation associated with drug-induced nephrotoxicity to guide the clinician to familiarity with this entity.
药物性肾功能不全并非罕见事件,可导致严重发病,且容易被忽视。许多药物可通过多种机制导致肾功能不全。本文讨论了最常见的药物或药物类别及其临床表现。可以注意到,许多药物可通过不止一种方式导致肾病。由于难以讨论每一种已报道药物的肾毒性,因此提供了表1、表2和表3;尽管这些表格绝不是全面的,但可作为进一步参考。本文旨在对药物性肾毒性相关的临床表现范围进行广泛概述,以指导临床医生熟悉这一实体。