EMC - Néphrologie最新文献_第5页

Suivi et complications non immunologiques de la transplantation rénale 肾移植的随访和非免疫学并发症

EMC - Néphrologie Pub Date : 2005-05-01 DOI: 10.1016/j.emcnep.2005.04.002

G. Mourad (Professeur) , V. Garrigue (Praticien hospitalier) , J. Bismuth (Chef de clinique) , I. Szwarc (Interne des Hôpitaux) , S. Delmas (Praticien attaché) , F. Iborra (Praticien hospitalier)

{"title":"Suivi et complications non immunologiques de la transplantation rénale","authors":"G. Mourad (Professeur) , V. Garrigue (Praticien hospitalier) , J. Bismuth (Chef de clinique) , I. Szwarc (Interne des Hôpitaux) , S. Delmas (Praticien attaché) , F. Iborra (Praticien hospitalier)","doi":"10.1016/j.emcnep.2005.04.002","DOIUrl":"10.1016/j.emcnep.2005.04.002","url":null,"abstract":"<div><p>Apart from the graft rejection risk, renal transplantation may be complicated by various non immune complications that can affect the graft's vital prognosis. During the early phase, acute renal failure or delayed functional recovery is often linked to an ischemic nephropathy due to the transplantation conditions. Delayed complications may affect many organs. Therefore, the quality of long term follow up is critical for post-transplantation outcome. The nephrotoxicity of immunosuppressive drugs or renal lesions caused by chronic rejection may worsen the chronic allograft nephropathy. Bone loss must be prevented or compensated. Late metabolic and cardiovascular complications are today the first cause of post-transplantation mortality. Therefore, cardiovascular risk factors (diabetes, dyslipidaemia and high blood pressure) must be carefully monitored. In this article, we also review complications that may affect other organs or systems.</p></div>","PeriodicalId":100433,"journal":{"name":"EMC - Néphrologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcnep.2005.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89010682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Ediorial board Ediorial董事会

EMC - Néphrologie Pub Date : 2005-05-01 DOI: 10.1016/S1638-6248(05)00006-X

引用次数: 0

Imagerie diagnostique du rein transplanté et des complications de la greffe rénale 肾移植及肾移植并发症的诊断影像

EMC - Néphrologie Pub Date : 2005-05-01 DOI: 10.1016/j.emcnep.2005.01.001

O. Hélénon , J.M. Correas , D. Eiss , E. Thervet , C. Legendre

引用次数: 2

Diagnostic clinique et biologique de l'insuffisance rénale aiguë 急性肾功能不全的临床和生物学诊断

EMC - Néphrologie Pub Date : 2005-05-01 DOI: 10.1016/j.emcnep.2004.12.002

R.-J. Anderson (Professeur de médecine) , D.-W. Barry (Professeur assistant)

{"title":"Diagnostic clinique et biologique de l'insuffisance rénale aiguë","authors":"R.-J. Anderson (Professeur de médecine) , D.-W. Barry (Professeur assistant)","doi":"10.1016/j.emcnep.2004.12.002","DOIUrl":"10.1016/j.emcnep.2004.12.002","url":null,"abstract":"<div><p>Acute renal failure (ARF) is defined in general terms as an abrupt decrease in renal function sufficient enough to result in retention of nitrogenous waste and disrupt fluid and electrolyte homeostasis. There is no consensus regarding a quantifiable definition of ARF. Prompt evaluation of ARF is vital because ARF can be the end result of diverse processes which can often be reversed or attenuated through therapy directed at the underlying condition. Evaluation begins with careful review of the patient's history, previous medical records, physical examination, urinanalysis, and available laboratory data. Routine urine chemical indices, calculation of the fractional excretion of sodium, and examination of the urine sediment are valuable in characterizing the cause of ARF. When this evaluation fails to yield a diagnosis, further testing may be required to evaluate intravascular volume status or diagnose a systemic disorder or glomerular cause of ARF. Response to therapeutic trials may provide a diagnosis. When a diagnosis cannot be made with reasonable certainty through this evaluation renal biopsy should be considered.</p></div>","PeriodicalId":100433,"journal":{"name":"EMC - Néphrologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcnep.2004.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78539619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Néphropathies à dépôts d’IgA en pédiatrie : aspects cliniques et approches thérapeutiques iga沉积肾病在儿科:临床方面和治疗方法

EMC - Néphrologie Pub Date : 2005-02-01 DOI: 10.1016/j.emcnep.2004.12.001

N.-M. Delos Santos , R.-J. Wyatt

引用次数: 1

Syndrome hépatorénal hépatorénal综合症

EMC - Néphrologie Pub Date : 2005-02-01 DOI: 10.1016/j.emcnep.2004.11.001

J. Liotier, B. Souweine, P. Deteix

引用次数: 0

Insuffisance rénale aiguë au cours de l’infection par le virus de l’immunodéficience humaine 人类免疫缺陷病毒感染期间的急性肾衰竭

EMC - Néphrologie Pub Date : 2005-02-01 DOI: 10.1016/j.emcnep.2004.10.005

J. Liotier, B. Souweine, P. Deteix

引用次数: 1

Toxicité rénale des produits de contraste iodés 碘造影剂的肾脏毒性

EMC - Néphrologie Pub Date : 2005-01-01 DOI: 10.1016/S1762-0945(07)47136-4

F. Martinez

引用次数: 3

Insuffisances rénales aiguës médicamenteuses 药物急性肾功能不全

EMC - Néphrologie Pub Date : 2004-11-01 DOI: 10.1016/j.emcnep.2004.10.003

J. Liotier, B. Souweine, P. Deteix

{"title":"Insuffisances rénales aiguës médicamenteuses","authors":"J. Liotier, B. Souweine, P. Deteix","doi":"10.1016/j.emcnep.2004.10.003","DOIUrl":"10.1016/j.emcnep.2004.10.003","url":null,"abstract":"<div><p>Drug-induced acute renal failure (ARF) is common. Many therapeutic agents may induce ARF and there are numerous mechanisms that cause drug-induced ARF. The mechanisms may act at the vascular, glomerular or tubular levels. Drug toxicity may be related to the effects of the treatment itself or caused by hypovolaemia or disturbances of intrarenal haemodynamics. During the course of ARF, diagnosis should systematically include consideration of drug-related precipitating or predisposing factors. Drug-induced ARF is an undesirable iatrogenic occurrence that is largely avoidable and which has a more favourable prognosis than ARF of different pathogenesis. Treatment of this type of ARF is based on prevention. Any drug that is potentially toxic to the kidney should be prescribed in strict accordance with the indications and contraindications of the therapy. Prescription must take into account drug interactions and constitutional susceptibility (pre-exciting chronic renal failure, cirrhosis, old age). Dosage must be adapted to the glomerular filtration rate as estimated by the formula of Cockcroft-Gault. Hypovolaemia must be prevented or corrected.</p></div>","PeriodicalId":100433,"journal":{"name":"EMC - Néphrologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcnep.2004.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81353027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Néphropathies kystiques de l’enfant 儿童囊性肾病

EMC - Néphrologie Pub Date : 2004-11-01 DOI: 10.1016/j.emcnep.2004.10.001

J. Varghese Methrail (Chef de clinique, spécialiste de néphrologie pédiatrique), J. Van der Voort (Consultant en néphrologie pédiatrique)

引用次数: 0