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造影剂肾病的预防研究新进展

New Progress in Prevention of Contrast Media Nephropathy
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摘要 血管内介入治疗是目前诊断和治疗脑血管病不可或缺的方式,随着此项技术的不断成熟、发展以及人口老龄化和慢病流行,越来越多的患者接受了这项治疗,但是血管内介入术后引起的造影剂相关性肾病也逐渐增多。造影剂肾病(Contrast-induced nephropathy, CIN)是继肾灌注不足和药物性肾损伤之后发生医院获得性急性肾损伤的三大原因之一。故对于造影剂肾病的认识和预防显得尤为重要,本文就对于造影剂肾病的流行病学、发病机制、预防、生物标记物的研究进展加以综述,为临床医师提供借鉴。 Endovascular interventional therapy is currently an indispensable diagnostic and treatment method for the diagnosis and treatment of cardiovascular and cerebrovascular diseases. With the continuous maturity and development of this technology, as well as the aging of the population and the prevalence of chronic diseases, more and more patients require this treatment, but the contrast media-associated kidney disease caused by endovascular interventional surgery is also gradually increasing. Contrast-induced nephropathy (CIN) is one of the three major causes of hospital-acquired acute renal injury following renal hypoperfusion and drug-induced renal injury. Therefore, it is particularly important to understand and prevent contrast induced nephropathy. This article reviews the epidemiology, pathogenesis, prevention and biomarkers of contrast induced nephropathy, so as to provide reference for clinicians.
出处 《临床医学进展》 2024年第4期595-600,共6页 Advances in Clinical Medicine
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  • 1Nisula S, Kaukonen KM, Vaara ST, et al. Incidence, risk factors and 90 - day mortality of patients with acute kidney injury in Finnish intensive care units: the finnaki study. Intensive Care Med,2013,39(3) :420-428.
  • 2Kerr M, Bedford M, Matthews B, et al. The economic impact of a- cute kidney injury in England. Nephrol Dial Transpl, 2014,29 (7) :1362 - 1368.
  • 3Kellum JA, Lameire N, KDIGO AKI Guideline Work Group. Di- agnosis, evaluation, and management of acute kidney injury: a KDIGO summary (Part 1 ). Crit Care,2013,17( 1 ) :204.
  • 4Chawla LS, Kimmel PL. Acute kidney injury and chronic kidney disease: an integrated clinical syndrome. Kidney Int, 2012, 82 (5) :516 -524.
  • 5Ishani A, Xue JL, Himmelfarb J, et al. Acute kidney injury in- creases risk of ESRD among elderly. J Am Soc Nephrol,2009,20 ( 1 ) : 223 - 228.
  • 6Soni SS, Ronco C, Katz N, et al. Early diagnosis of acute kidney injury: the promise of novel biomarkers. Blood Purif, 2009,28(3) :165 - 174.
  • 7Schrier R, Wang W, Poole B, et al. Acute renal failure:defini- tions, diagnosis, pathogenesis and therapy. J Clin Invest, 2004, 114(1) :5 -14.
  • 8Herrera J, Rodriguez - Iturbe B. Stimulation of tubular secretion of creatinine in health and in conditions associated with reduced nephron mass. Evidence for a tubular functional reserve. Nephrol Dial Transplant, 1998,13 ( 3 ) :623 - 629.
  • 9Wheeler DS, Devarajan P, Ma Q, et al. Serum neutrophil gelati- nase - associated fipoealin (NGAL) as a marker of acute kidney injury in critically ill children with septic shock. Crit Care Med, 2008.36(4) , 1297 - 1303.
  • 10Haase M, Bellomo R, Devarajan P,et al. Accuracy of neutrophil gelatinase associated lipocalin (NGAL) in diagnosis and prog- nosis in acute kidney injury:a systematic re -view and meta- analysis. Am J Kidney Dis,2009,54(6) :1012 - 1024.

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