论文部分内容阅读
休克引起的急性肾功能不全(休克肾)是临床各科碰到的极为重要的问题。这里,仅从临床的角度作一简单的介绍,供大家参考。休克与急性肾功能不全急性肾功能不全可分为肾前性、肾性和肾后性三种。失血性、心源性及感染性休克时,因动脉压的降低,引起肾小球滤过率严重下降而造成肾前性尿毒症,如症状轻微,或早期对休克给予合理的治疗,尚未有肾实质损害时,肾前性尿毒症阶段是可以恢复的。但长时间持续的严重休克而又得不到适当的治疗时,则会造成肾小管坏死乃至肾皮质坏死的肾实质损害,导致休克肾的发生。
Acute renal insufficiency (shock and kidney) caused by shock is an extremely important issue encountered in all clinical departments. Here, only from a clinical point of view for a brief introduction for your reference. Shock and acute renal insufficiency Acute renal insufficiency can be divided into pre-renal, renal and post-renal three. Hemorrhagic, cardiogenic and septic shock, due to lower arterial pressure, causing a serious decline in glomerular filtration rate caused by prerenal uremia, such as mild symptoms, or early treatment of shock to give a reasonable, there is no Renal parenchymal damage, prerenal urethral stage can be restored. However, sustained severe shock for a long time without appropriate treatment, it will cause renal tubular necrosis and renal necrosis of renal parenchymal damage, leading to the occurrence of shock and kidney.