2015年12月31日星期四

Renal failure occurs nonoliguric performance

Renal failure refers to a sudden and sharp decline in renal function in the short term and cause the clinical syndrome. Mainly as a significant reduction in urine output or no urine, azotemia, metabolic acidosis, hyperkalemia, edema, and other multi-organ system symptoms and biochemical abnormalities.

Nonoliguric acute tubular necrosis is no little or no urine manifestations of acute tubular necrosis, average daily urine volume exceeds 1000ml. Nonoliguric risk factors and oliguric different, the former is due to renal aminoglycoside antibiotics and toxic substances caused by contrast agents, and oliguric more from the surgery, leading to renal ischemia. Nonoliguric laboratory indicators were less urinary light pattern changes. Was isotonic urine, fewer urinary sodium content, the lower sodium excretion fraction, less than 1 percent, to a lesser extent elevated serum creatinine / renal function recovered rapidly nonoliguric merger, less disease and less urinary type who, mortality is also low, less need dialysis. But the fatality rate is still 26%, individual seriously ill patients still need dialysis. In recent years, non-oliguric acute renal failure incidence increased year by year, up to 70% -80%. Not only because of the increased awareness of the disease than in recent years due to increased use of aminoglycoside antibiotics, and drug-induced acute tubular necrosis multiple non-oliguric. In addition, early acute renal failure reasonable use of diuretics, dopamine and mannitol increased renal blood flow and urine scouring action is often the performance of non-oliguric.


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