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1944年Bywater首先提出“挤压综合征”(Crush Syndrome),临床表现患者外伤挤压后,出现无尿和急性肾功能损害,尸检病理变化为肾单位严重退行性变化和肾小管管型阻塞。多年来,不少学者对该综合征进行了大量研究和临床观察,并提出急性肾功能衰竭(ARF)、休克肾、肌红蛋白性肾病、急性肾小管坏死(ATN)及下肾单位性肾病等诊断名称。现将休克致ARF的有关临床诊断问题讨论如下。一、功能性少尿(肾前性氮质血症)和休克致ARF的鉴别
In 1944, Bywater first proposed “Crush Syndrome”. Clinical manifestations showed no urinary and acute renal dysfunction after traumatic extrusion. The pathological changes of autopsy were severe degenerative nephrosis and tubular obstruction. Over the years, many scholars have conducted a large number of studies on the syndrome and clinical observation, and proposed acute renal failure (ARF), shock kidney, myoglobin nephropathy, acute tubular necrosis (ATN) and renal nephropathy Other diagnostic name. Shock to ARF now related to the clinical diagnosis of the following discussion. First, the functional oliguria (prerenal azotemia) and shock induced ARF identification