儿科粉碎相关的急性损伤和危险因素:一个单一的中心经验
Sevgin Taner1, Ulas Ozdemir2, Tugba Kandemir Gulmez3
1Adana City Training and Research Hospital, Pediatric Nephrology, Adana, Turkey. sevgintaner@gmail.com.
Journal of nephrology
|August 31, 2024
概括
遭受压伤的地震幸存者面临着压伤综合征和急性损伤 (AKI) 的高风险. 患有压缩综合征,腹部创伤和晚年儿童的老年儿童面临严重AKI的风险更大.
科学领域:
- 灾难医疗 医疗 医疗 医疗
- 儿科创伤护理 儿童创伤护理
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 压伤是地震受害者的重要并发症,通常导致压伤综合征和急性损伤 (AKI).
- 压伤综合征和AKI是地震后医院死亡的主要原因.
- 这项研究分析了土耳其-叙利亚地震的经验,以确定这些情况的风险因素.
研究的目的:
- 报告土耳其-叙利亚地震后儿童压伤管理的经验.
- 在儿童地震幸存者中识别与粉碎综合症和粉碎相关的AKI发展相关的风险因素.
主要方法:
- 人口,实验室和临床数据的回顾性分析.
- 包括1134名被送往急诊室的儿童,重点是被诊断患有压伤的265名儿童.
主要成果:
- 压碎综合征发生在50.9%的儿科患者中,年龄较大,体重较重的儿童更容易受到影响.
- 在59.2%的病例中观察到急性损伤 (AKI),其中12.1%需要置换疗法 (KRT).
- AKI 3 期的危险因素包括压缩综合征,腹部创伤和年龄较大.
结论:
- 这项研究强调了事先制定的国家应急灾难计划的必要性.
- 密切监测AKI对于老年儿科地震受害者,患有严重压碎综合征和多重创伤至关重要.
- 及时的医疗干预,包括液体复苏和透析,对于管理与压碎相关的AKI至关重要.
相关概念视频
Factors Affecting Renal Clearance: Renal Impairment
62
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
62
Renal Failure: Dose Adjustments
69
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
69
Dialysis
277
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
277
Nephrons
2.2K
The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
2.2K
External Anatomy of the Kidney
885
The kidneys are a pair of bean-shaped organs in the human body that play a critical role in maintaining overall health. They filter out waste products from the blood, regulate blood pressure, maintain electrolyte balance, and stimulate the production of red blood cells.
The kidneys are located in the retroperitoneal space on either side of the vertebral column, protected posteriorly by the 11th and 12th ribs. The right kidney sits slightly lower than the left owing to the presence of the liver...
The kidneys are located in the retroperitoneal space on either side of the vertebral column, protected posteriorly by the 11th and 12th ribs. The right kidney sits slightly lower than the left owing to the presence of the liver...
885
Kidney Structure
69.3K
The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
69.3K


