Renal Failure

F.D. Thompson, M.A. Mansell
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Abstract

Most patients who develop acute renal failure after surgery have acute tubular dysfunction caused by hypotension. Other causes include drug toxicity, renal parenchymal disease and obstruction. The appropriate investigations are considered. It is important to support patients with ARF by dialysis or haemofiltration to keep the plasma biochemistry and circulating blood volume as near normal as possible. These techniques allow adequate nutrition to be given. Tubular dysfunction is a potentially reversible condition and patients should survive unless they develop other complications.

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肾功能衰竭
大多数术后发生急性肾功能衰竭的患者都有由低血压引起的急性肾小管功能障碍。其他原因包括药物毒性、肾实质疾病和梗阻。考虑进行适当的调查。重要的是通过透析或血液过滤来支持ARF患者,以保持血浆生化和循环血容量尽可能接近正常。这些技术允许给予足够的营养。肾小管功能障碍是一种潜在的可逆性疾病,除非出现其他并发症,否则患者应该存活。
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