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Akutes Nierenversagen

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Praxis der Nephrologie

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Zusammenfassung

Ein akutes Nierenversagen (ANV) ist eine innerhalb von Stunden bis Tagen eintretende, prinzipiell reversible Verschlechterung der Nierenfunktion. Über den Anstieg der harnpflichtigen Substanzen hinaus, kommt es auch zu Störungen der Elektrolyte, des Säure-Basen-Haushaltes und zu Hypervolämie. Das Ausmaß des akuten Nierenversagens ist variabel und kann bis zur Notwendigkeit der Nierenersatztherapie führen. Prinzipiell unterscheidet man prärenale, intrarenale und postrenale Ursachen. Am häufigsten sind prärenale Auslöser und die akute Tubulusnekrose. Die Mortalität des akuten Nierenversagens durch Medikamente oder Nephrotoxine beträgt 10–30%.

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Literatur

  • Berns JA, Cohen RM, Stumacher RJ, Rudnick MR (1991) Renal aspects of therapy for human immunodeficiency virus and associated opportunistic infections. J Am Soc Nephrol 1: 1061–1065

    CAS  PubMed  Google Scholar 

  • Conger JD (1995) Interventions in clinical acute renal failure. What are the data? Am J Kidney Dis 26: 565–580

    Google Scholar 

  • Herget-Rosenthal S, Bokenkamp A, Hofmann W. How to estimate GFR-serum creatinine, serum cystatin C or equations? (2007) Clin Biochem. 40(3–4):153–161

    Article  CAS  PubMed  Google Scholar 

  • Himmelfarb J, Joannidis M, Molitoris B, Schietz M, Okusa MD, Warnock D, Laghi F, Goldstein SL, Prielipp R, Parikh CR, Pannu N, Lobo SM, Shah S, D‘Intini V, Kellum JA (2008) Evaluation and initial management of acute kidney injury. Clin J Am Soc Nephrol. 3(4):962–967

    Article  PubMed  Google Scholar 

  • Liano F, Pasqual J and the Madrid Acute Renal Failure Study Group (1996) Epidemiology of acute renal failure: A prospective, multicenter, community-based study. Kidney Int 50: 811–819

    Article  CAS  PubMed  Google Scholar 

  • Magaldi AJ, Yasuda PN, Kudo LH (1992) Renal involvement in leptospirosis: A pahtophysiologic study. Nephron 62: 332–339

    Article  CAS  PubMed  Google Scholar 

  • Mehta RL, Pascual MT, Soroko S, Savage BR, Himmelfarb J, Ikizler TA, Paganini EP, Chertow GM SO (2004 )TI Spectrum of acute renal failure in the intensive care unit: the PICARD experience. Kidney Int 66(4):1613–1621

    Article  PubMed  Google Scholar 

  • Mehta RL, Kellum JA, Shah SV, Molitoris BA, Ronco C, Warnock DG, Levin A (2007) Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury. Acute Kidney Injury Network. Crit Care;11(2): 31

    Article  Google Scholar 

  • Papadimitriou M (1995) Hantavirus nephropathy. Kidney Int 48: 887–894

    Article  CAS  PubMed  Google Scholar 

  • Parker RA, Himmelfarb J, Tolkoff-Rubin N (1998) Prognosis of patients with acute renal failure requiring dialysis: Results of a mutlicenter Sturdy. Am J Kidney Dis: 32: 432–438

    Article  CAS  PubMed  Google Scholar 

  • Perazella MA, Tray K (2001) Selective cyclooxygenase-2 inhibitors: a pattern of nephrotoxicity similar to traditional nonsteroidal anti-inflammatory drugs. Am J Med 2001 Jul;111(1):64–67

    Article  CAS  PubMed  Google Scholar 

  • Seguro AC, Lomar AV, Rocha AS (1990) Acute renal failure of leptospirosis: Nonoliguric and hypokalemic forms. Nephron: 55: 146–152

    Article  CAS  Google Scholar 

  • Singer I, Epstein M (1998) Potetntial of dapamine A-1 agonists in the management of acute renal failure. Am J Kidney Dis 31: 743–749

    Google Scholar 

  • Star RA (1998) Treatment of acute renal failure. Kidney Int 54: 1817–1824

    Article  CAS  PubMed  Google Scholar 

  • Stevens LA, Schmid CH, Greene T, Li L, Beck GJ, Joffe MM, Froissart M, Kusek JW, Zhang YL, Coresh J, Levey AS (2009) Factors other than glomerular filtration rate affect serum cystatin C levels. Kidney Int. 75(6):652–660

    Article  CAS  PubMed  Google Scholar 

  • Tidman M, Sjostrom P, Jones I (2008 ) A Comparison of GFR estimating formulae based upon s-cystatin C and s-creatinine and a combination of the two. Nephrol Dial Transplant. 23(1): 154–160

    Article  CAS  PubMed  Google Scholar 

  • Zager RA (1996) Rhabdomyolysis and myohemoglobinuric acute renal failure. Kidney Int 49: 314–321

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Gemeinschaftspraxis für Diabetes und Nierenerkrankungen Dialysezentrum Grünstadt, Verladeplatz 2-4, 67269, Grünstadt

    Dr. Christine K. Keller

  2. Praxis für Nieren- und Hochdruckerkrankungen Dialysezentrum Wieblingen, Maaßstraße 28, 69123, Heidelberg

    Dr. Steffen K. Geberth

Authors
  1. Dr. Christine K. Keller
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  2. Dr. Steffen K. Geberth
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© 2010 Springer-Verlag Berlin Heidelberg

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Keller, C.K., Geberth, S.K. (2010). Akutes Nierenversagen. In: Praxis der Nephrologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-10213-4_10

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  • DOI: https://doi.org/10.1007/978-3-642-10213-4_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-10212-7

  • Online ISBN: 978-3-642-10213-4

  • eBook Packages: Medicine (German Language)

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