2015年1月8日星期四

Diagnosis and treatment of acute renal failure

Since acute renal failure (ARF) diagnosis and treatment standpoint, can cause acute renal failure reasons are divided into three categories:

First, pre-renal IPRA, prerenal A11P main are:

(1)Common in gastrointestinal fluid loss, use of diuretics, extensive burns, hypoalbuminemia. Effective hypovolemia

(2) Heart failure, found in cardiomyopathy, valvular dysfunction, pericardial tamponade.

(3) Systemic vasodilatation, seen sepsis, anaphylaxis, anesthetic accidents, etc.

(4) Renal arteries that lead to renal ischemia.

Second, the parenchymal renal ARF, the primary cause of renal parenchymal IRA are:

(1) Acute tubular necrosis, seen in acute renal ischemia, the use of nephrotoxic drugs, heavy metal poisoning ??, and so on.

(2) Bilateral renal cortical necrosis seen in placental abruption, severe shock.

(3) Tubulointerstitial disease, seen in allergic reactions mediated acute poisoning, infections and systemic diseases.

(4) The renal vascular disease, renal artery embolization seen and thrombosis, renal vein and microvascular injury.

(5) Glomerular diseases, primary glomerular nephritis leading A11F aggressive disease, nephritis after infection, IgA nephropathy, mesangial proliferative nephritis. Secondary nephropathy, such as lupus nephritis, purpura nephritis.

ARF Third, post-renal, the primary cause of post-renal ARF include:

(1) Ureteral stones imprisonment.

(2) Prostatic hypertrophy.

(3) Injury to the urinary tract and after surgery.

(4) Compression tumor.

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