相关实验视频
Updated: Mar 11, 2026

07:30
Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
4.5K
儿科原生和移植脏活检:并发症和危险因素
Ravjot Dhatt1, FangChao Linda Ding2, Jessica Tang3
1Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada.
Pediatric nephrology (Berlin, Germany)
|March 9, 2026
概括
儿科脏活检通常是安全的,但年幼的儿童,低功能,贫血或血管炎的儿童面临更高的并发症风险. 标准化协议可以改善结果.
科学领域:
- 儿科脏病学 儿科脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 活检对于诊断儿科脏疾病至关重要.
- 儿童脏活检并发症的危险因素尚未得到充分了解.
研究的目的:
- 为了评估儿科原生和移植脏活检中的并发症率.
- 确定与活检并发症相关的临床和技术风险因素.
主要方法:
- 在232名儿科患者 (2010-2018) 中对402个脏活检进行了回顾性研究.
- 通过患者病历审查收集的数据.
- 被定义为轻微 (血液瘤≥2cm,动脉静脉,伪动脉瘤) 或重大 (需要输血,栓塞,手术) 的并发症.
主要成果:
- 整体并发症率为8% (32/402),其中有一个主要并发症.
- 在儿童<3岁 (22%),女性 (11%),低EGFR≤30 (17%),贫血<10 g/dL (16%),血管炎 (15%) 和本地活检 (11%) 中观察到更高的并发症率.
- 技术因素显示,与并发症增加没有显著关联.
结论:
- 儿科脏活检相对安全,特别是在移植受体中.
- 3岁以下的儿童,低EGFR,贫血或血管炎的儿童风险更高.
- 标准化活检协议和并发症定义对于一致的报告和实践改进至关重要.
相关概念视频
Kidney Transplant II: Surgical Procedure
628
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
628
Kidney Transplant I: Introduction
624
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
624
Kidney Transplant III: Nursing Management
472
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
472
Acute Kidney Injury IV: Diagnostic Studies and Prevention
437
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
437
Pharmacokinetics in Pediatric Patients: Drug Excretion
345
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
345
Cardiac Catheterization I: Pre-Procedure Overview
2.0K
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
2.0K

