Kidney injury in COVID-19.

Adeel Rafi Ahmed, Chaudhry Adeel Ebad, Sinead Stoneman, Muniza Manshad Satti, Peter J Conlon
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Abstract

Coronavirus disease 2019 (COVID-19) continues to affect millions of people around the globe. As data emerge, it is becoming more evident that extrapulmonary organ involvement, particularly the kidneys, highly influence mortality. The incidence of acute kidney injury has been estimated to be 30% in COVID-19 non-survivors. Current evidence suggests four broad mechanisms of renal injury: Hypovolaemia, acute respiratory distress syndrome related, cytokine storm and direct viral invasion as seen on renal autopsy findings. We look to critically assess the epidemiology, pathophysiology and management of kidney injury in COVID-19.

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COVID-19 中的肾损伤。
冠状病毒病 2019(COVID-19)继续影响着全球数百万人。随着数据的不断涌现,肺外器官受累(尤其是肾脏)对死亡率的影响越来越明显。据估计,在 COVID-19 非幸存者中,急性肾损伤的发生率为 30%。目前的证据表明,肾损伤有四大机制:低氧血症、急性呼吸窘迫综合征、细胞因子风暴和肾脏尸检结果显示的直接病毒入侵。我们希望对 COVID-19 肾损伤的流行病学、病理生理学和管理进行批判性评估。
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