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药物性急性肾损伤的研究进展
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  • 英文篇名:Research progress in drug-induced acute kidney injury
  • 作者:任春霞 ; 余自成
  • 英文作者:REN Chun-xia;YU Zi-cheng;Department of Pharmacy, Yangpu Hospital, Tongji University;
  • 关键词:急性肾损伤 ; 危险因素 ; 保护因素
  • 英文关键词:acute kidney injury;;risk factors;;protective factors
  • 中文刊名:XYYL
  • 英文刊名:Chinese Journal of New Drugs and Clinical Remedies
  • 机构:同济大学附属杨浦医院药学部;
  • 出版日期:2019-05-25
  • 出版单位:中国新药与临床杂志
  • 年:2019
  • 期:v.38
  • 语种:中文;
  • 页:XYYL201905001
  • 页数:6
  • CN:05
  • ISSN:31-1746/R
  • 分类号:6-11
摘要
药物性肾损伤是临床实践中的严重问题,会导致患者住院时间延长、总治疗费用和死亡率增加。可能导致肾损伤的临床常用药物主要包括抗癌药物、抗菌/抗病毒药物、非甾体抗炎药、造影剂及其他药物如环孢素等。药物引起肾毒性的危险因素除患者年龄、性别以及疾病等自身因素外,药物本身的肾脏毒性、药物过量和长期使用、药物间相互作用和药物相关的不良反应也是重要的风险因素。了解药物性肾损伤的发病机制及危险因素,及时采取预防和处理措施,对于减少肾损伤发生具有重要意义。
        Drug-induced kidney injury is a serious problem in clinical practice, which will lead to prolonged hospital stay and increased total treatment costs and mortality. There are many clinical drugs that may cause kidney damage including anticancer drugs, antibacterial/antiviral drugs, non-steroidal anti-inflammatory drugs, contrast agents and other drugs such as cyclosporine. The risk factors of drug-induced nephrotoxicity include not only the age, sex and disease of patients themselves, but also the drug nephrotoxicity, drug overdose and long-term use, drug interactions and drug-related adverse reactions. It is important to understand the pathogenesis and risk factors of drug-induced kidney injury and take preventive and treatment measures to reduce the occurrence of kidney injury.
引文
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