Acquired cystic kidney disease in ESRD.

ANNA journal Pub Date : 1999-08-01
C M Headley, B Wall
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引用次数: 0

Abstract

Acquired cystic kidney disease (ACKD) in patients undergoing dialysis has been associated with life-threatening complications. Potential malignant transformation of the cysts has prompted concern regarding the need to screen patients for ACKD. The assumed increased morbidity associated with malignant transformation has not been clearly documented in the literature and may require further long-term analysis to adequately assess. Many reports on ACKD refer to the risk for malignancy, but other complications associated with ACKD may also arise. The development of ACKD has been shown to increase with increasing time on dialysis. Patients on dialysis appear to have a longer life expectancy and, consequently, more will develop ACKD. Complications related to ACKD may increase, which bolster efforts to establish specific guidelines related to the screening and management of ACKD. Nephrology nurses should be aware of symptoms suggesting a complication related to ACKD and confer with the nephrologist regarding evaluation. This article will discuss implications and management related to an increasing incidence of ACKD.

ESRD患者的后天性囊性肾病。
接受透析的患者的获得性囊性肾病(ACKD)与危及生命的并发症有关。囊肿潜在的恶性转化引起了对ACKD患者筛查的关注。假定与恶性转化相关的发病率增加在文献中没有明确的记录,可能需要进一步的长期分析来充分评估。许多关于ACKD的报道提到了恶性肿瘤的风险,但与ACKD相关的其他并发症也可能出现。ACKD的发展已被证明随着透析时间的增加而增加。接受透析治疗的患者似乎有更长的预期寿命,因此,更多的人会患上ACKD。与ACKD相关的并发症可能会增加,这有助于建立与ACKD筛查和管理相关的具体指南。肾病科护士应注意提示ACKD并发症的症状,并与肾病科医生进行评估。本文将讨论与日益增加的ACKD发病率相关的影响和管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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