Skip to main content
SpringerLink
Log in

Akutes Nierenversagen (AKI), Diagnostik

  • Living reference work entry
  • First Online:
Book cover SpringerReference Innere Medizin

Part of the book series: SpringerReference Medizin ((SRM))

  • 1103 Accesses

Zusammenfassung

Mit der Einführung der RIFLE und dann der AKIN/KDIGO Kriterien hat sich erstmals eine einheitliche Definition des Akuten Nierenversagens (Acute Kidney Injuries,AKI) durchgesetzt, die in klinischen Studien und im Alltag verwendet werden kann. Ergänzend zu den funktionellen Kriterien aus diesen Definitionen (Kreatinin, GFR, Urinausscheidung) sind auch Sonographie, Urinmikroskopie, neue renale Biomarker und in manchen Fällen auch die Nierenbiopsie in der Diagnostik des AKIs wichtig und sollten in der klinischen Praxis Anwendung finden.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

Literatur

  • Bagshaw SM, Langenberg C, Bellomo R (2006) Urinary biochemistry and microscopy in septic acute renal failure: a systematic review. Am J Kidney Dis 48:695–705

    Article  CAS  PubMed  Google Scholar 

  • Bagshaw SM, Haase M, Haase-Fielitz A, Bennett M, Devarajan P, Bellomo R (2012) A prospective evaluation of urine microscopy in septic and non-septic acute kidney injury. Nephrol Dial Transplant 27:582–588

    Article  CAS  PubMed  Google Scholar 

  • Bellomo R (2005) Defining, quantifying, and classifying acute renal failure. Crit Care Clin 21:223–237

    Article  PubMed  Google Scholar 

  • Doi K, Katagiri D, Negishi K, Hasegawa S, Hamasaki Y, Fujita T, Matsubara T, Ishii T, Yahagi N, Sugaya T, Noiri E (2012) Mild elevation of urinary biomarkers in prerenal acute kidney injury. Kidney Int 82:1114–1120

    Article  CAS  PubMed  Google Scholar 

  • Kellum JA, Levin N, Bouman C, Lameire N (2002) Developing a consensus classification system for acute renal failure. Curr Opin Crit Care 8:509–514

    Article  PubMed  Google Scholar 

  • Koyner JL, Garg AX, Coca SG, Sint K, Thiessen-Philbrook H, Patel UD, Shlipak MG, Parikh CR (2012) Biomarkers predict progression of acute kidney injury after cardiac surgery. J Am Soc Nephrol 23:905–914

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Lassnigg A, Schmidlin D, Mouhieddine M, Bachmann LM, Druml W, Bauer P, Hiesmayr M (2004) Minimal changes of serum creatinine predict prognosis in patients after cardiothoracic surgery: a prospective cohort study. J Am Soc Nephrol 15:1597–1605

    Article  CAS  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. Crit Care 11:R31

    Article  PubMed Central  PubMed  Google Scholar 

  • Parikh CR, Devarajan P, Zappitelli M, Sint K, Thiessen-Philbrook H, Li S, Kim RW, Koyner JL, Coca SG, Edelstein CL, Shlipak MG, Garg AX, Krawczeski CD (2011) Postoperative biomarkers predict acute kidney injury and poor outcomes after pediatric cardiac surgery. J Am Soc Nephrol 22:1737–1747

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Perazella MA, Coca SG, Hall IE, Iyanaman U, Koraishy M, Parikh CR (2010) Urine microscopy is associated with severity and worsening of acute kidney injury in hospitalized patients. Clin J Am Soc Nephrol 5:402–408

    Article  PubMed Central  PubMed  Google Scholar 

  • Smith HW (1951) Acute renal failure related to traumatic injuries. In: The kidney Structure and function in health and disease. Oxford University Press, New York, S 764

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Nephrologie und Hypertensiologie, Universitätsklinikum Erlangen, Ulmenweg 18, 91054, Erlangen, Deutschland

    Prof. Dr. med. Carsten Willam

Authors
  1. Prof. Dr. med. Carsten Willam
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Carsten Willam .

Editor information

Editors and Affiliations

  1. Medizinische Klinik I, Universitätsklinikum Schleswig-Hoslstein, Campus Lübeck, Lübeck, Schleswig-Holstein, Germany

    Hendrik Lehnert

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this entry

Cite this entry

Willam, C. (2014). Akutes Nierenversagen (AKI), Diagnostik. In: Lehnert, H. (eds) SpringerReference Innere Medizin. SpringerReference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54676-1_74-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-54676-1_74-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Online ISBN: 978-3-642-54676-1

  • eBook Packages: Springer Referenz Medizin

Publish with us

Policies and ethics

Search

Navigation