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Fracaso y punción múltiple en la colocación de catéteres para hemodiálisis en un hospital escuela 某教学医院血液透析导管放置失败及多次穿刺
Pub Date : 2020-12-18 DOI: 10.24875/nefro.20000046
Héctor Parra-Lomelí, C. A. Jiménez-Bernardino, A. P. Rico-Portillo, Iris Cazares-Campos, Manuel Guerrero-Ruiz, S. Prieto-Miranda
Objective: To determine the incidence of influent factors in failure and multiple punctures for the placement of central venous catheter for hemodialysis (CVCHD). Methods: A descriptive analytical study, patients with hemodialysis requirements from February to October 2014 were included. Nurses of the vascular access clinic recorder clinical characteristics, as well as the number of necessary punctures, fail to place the CVCHD and its immediate complications. The analysis of the data was done with descriptive and inferential statistics as corresponded; multiple logistic regression was done. Results: 180 procedures were analyzed, of which 170 hemodialysis catheters (94.4%) were able to be placed. The failure of the CVCHD placement was more frequent in patients with a previous catheter history with an OR 1.46 (95% CI 1.03 - 2.05). Obesity was the only Conclusions: There was an increased risk of failure with a history of previous catheters and the obesity was associated with the need
目的:探讨血液透析中心静脉置管失败及多次穿刺的影响因素。方法:采用描述性分析研究,纳入2014年2 - 10月有血液透析需求的患者。血管通路诊所的护士记录临床特征,以及必要的穿刺次数,未能放置CVCHD及其直接并发症。数据分析采用相应的描述性统计和推断性统计;进行多元逻辑回归分析。结果:共分析180例手术,其中能够放置血液透析导管170例,占94.4%。既往有导管史的患者放置CVCHD的失败更为常见,OR为1.46 (95% CI 1.03 - 2.05)。结论:既往置管史者失败风险增加,且肥胖与置管需求相关
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引用次数: 0
Biopsia renal percutánea en pacientes mayores de 60 años. Análisis clínico-patológico 60岁以上患者经皮肾活检。clínico-patológico分析
Pub Date : 2020-04-14 DOI: 10.24875/nefro.20000074
Raymed A. Bacallao-Méndez, L. López-Marín, Betsy Llerena-Ferrer, Francisco Gutiérrez-García, Armando Heras-Mederos, Adriana P. Cabrera-Eugenio
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引用次数: 0
Ajuste renal de antibióticos en pacientes ancianos hospitalizados: un estudio de cohorte retrospectivo 老年住院患者抗生素肾调节:一项回顾性队列研究
Pub Date : 2020-04-14 DOI: 10.24875/nefro.20000018
Bruna F. de Castro, Marcus Vinicius Melo Moraes, Daniel R. Duarte-Alves-Lima, Caroline de Paula-Cassânego, Bruno Déo-de Oliveira, Álvaro Baptista-Neto, Daniel da Silva-Moraes-Junior, Thyago Proença-de Moraes
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引用次数: 0
Hipertrofia ventricular izquierda y valvulopatías en la enfermedad renal crónica. Prevalencia y factores de riesgo asociados 慢性肾病的左心室肥厚和瓣膜病变。流行率及相关危险因素
Pub Date : 2020-04-14 DOI: 10.24875/nefro.20000077
Xosé González-Cancela, Gabriel Parma, Patricia Larre-Borges, Lucia Florio, Liliana Gadola
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引用次数: 0
Evaluación de las ecuaciones de estimación de la tasa de filtrado glomerular basadas en creatinina sérica CKD-EPI y MDRD en pacientes mexicanos adultos. Estudio piloto 在墨西哥成年患者中,基于CKD-EPI和MDRD血清肌酐的肾小球滤过率估计方程的评价。试点研究
Pub Date : 2020-04-14 DOI: 10.24875/nefro.20000104
José O. Sosa-Ramos, Omar A. Jiménez-García, M. D. R. Cruz-Juanes, M. Hernández-González, Rafael Luna-Montalbán
{"title":"Evaluación de las ecuaciones de estimación de la tasa de filtrado glomerular basadas en creatinina sérica CKD-EPI y MDRD en pacientes mexicanos adultos. Estudio piloto","authors":"José O. Sosa-Ramos, Omar A. Jiménez-García, M. D. R. Cruz-Juanes, M. Hernández-González, Rafael Luna-Montalbán","doi":"10.24875/nefro.20000104","DOIUrl":"https://doi.org/10.24875/nefro.20000104","url":null,"abstract":"","PeriodicalId":100947,"journal":{"name":"Nefrología Latinoamericana","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88370285","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
Nefrología Latinoamericana «para todos en todos lados» 拉丁美洲肾病学“为世界各地的每个人”
Pub Date : 2020-04-14 DOI: 10.24875/nefro.m20000006
Alejandro Ferreiro-Fuentes, Guillermo Rosa-Diez
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引用次数: 0
Salud renal para todos en todas partes - desde la prevención hasta la detección y el acceso equitativo a la atención 人人享有肾脏健康——从预防到检测和公平获得护理
Pub Date : 2020-03-31 DOI: 10.24875/nefro.m20000005
Philip Kam-Tao Li, G. García-García, Siu-Fai Lui, Sharon P. Andreoli, Winston Wing-Shing Fung, Anne Hradsky, Latha Kumaraswami, Vassilios Liakopoulos, Ziyoda Rakhimova, Gamal Saadi, Luisa Strani, Ifeoma Ulasi, Kamyar Kalantar-Zadeh
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引用次数: 0
Correlación entre niveles de ácido úrico y velocidad de la onda del pulso en sujetos con síndrome metabólico 代谢综合征患者尿酸水平与脉搏波速度的相关性
Pub Date : 2020-01-21 DOI: 10.24875/nefro.19000058
A. Rubio-Guerra, Jorge Luis Narváez-Rivera, D. R. Benítez-Maldonado, Carolina Guerrero-García, Karla C Arana-Pazos, G. Vargas-Ayala
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引用次数: 0
Nefrocalcinosis y calcificaciones sistémicas asociadas a granulomas grado 4 por polímeros estéticos. Presentación de caso y revisión de la literatura 美学聚合物与4级肉芽肿相关的肾钙质沉着和全身钙化。案例介绍和文献综述
Pub Date : 2020-01-21 DOI: 10.24875/nefro.19000042
Guillermo Navarro-Blackaller, J. S. Chávez-Iñiguez, D. E. Carmona-Navarro, Jorge I. Michel-González
We present the case of a 42-year-old man with chronic kidney disease grade 5 in hemodialysis who has been injected for 14 years by non-professional health personnel, subcutaneous material (silicone polymers and paraffin oil) to obtain an appearance athletic subsequently developed an exceptional bone mineral disorder, characterized by: hypercalcemia, deficiency of 25 hydroxy Vitamin D, increase of 1,25-OH-Vitamin D and decrease of intact paratohormone. In addition, calcifications in the places where I apply the material such as: thighs, lumbar area and in target organs such as abdominal aorta, nephrocalcinosis, renal lithiasis and granulomas. This case exemplifies the systemic calcification developed by the interaction between the inflammation of the injected foreign material and the bone mineral metabolism.
我们报告一位患有血液透析5级慢性肾脏疾病的42岁男性患者,14年来由非专业卫生人员注射皮下材料(硅胶聚合物和石蜡油)以获得运动外观,随后发展为异常的骨矿物质障碍,其特征是:高钙血症,缺乏25羟基维生素D, 1,25- oh -维生素D增加和完整副激素减少。此外,我涂抹材料的部位如:大腿、腰部以及靶器官如腹主动脉的钙化、肾钙化、肾结石、肉芽肿。本例为全身钙化的例证,是外来物质的炎症与骨矿物质代谢相互作用的结果。
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引用次数: 0
Caracterización de la nefritis tubulointersticial aguda en un centro de Cuba, 1988-2018 1988-2018年古巴中心急性小管间质肾炎的特征
Pub Date : 2020-01-21 DOI: 10.24875/nefro.19000080
Raymed A. Bacallao-Méndez, L. López-Marín, Betsy Llerena-Ferrer, Aymara Badell-Moore, Francisco Gutiérrez-García, Daniel E. Domínguez-Aguilar
Objectives: To know the frequency of presentation of acute tubulointerstitial nephritis (ATIN) in the last three decades, its forms of presentation, etiology, clinical manifestations and findings in the urinary sediment. Material and methods: A descriptive, retrospective cross-sectional study was carried out in Cuban patients who underwent kidney biopsy of own kidneys at the Nephrology Institute, Havana, Cuba, in the period 1988-2018. The information was processed in an automated way (SPSS 22.0). Analysis of frequency distribution, average and the homogeneity test were used. Results: Of 2472 biopsies performed, 77 (3.1%) were diagnosed as ATIN. The frequency of this diagnosis increased, from 1.1% in the period 1988-1998, to 3% in 1999-2008, up to 4.5% in the period 2009-2018 (p = 0.044). The main form of presentation was acute kidney injury (AKI) (83.1%), skin rash, eosinophilia and fever triad was present in 11.7% of patients and the most frequent cause was medication
目的:了解近30年来急性肾小管间质性肾炎(ATIN)的发病频率、表现形式、病因、临床表现及尿沉泥检查结果。材料和方法:1988年至2018年期间,在古巴哈瓦那肾学研究所对自己肾脏进行肾活检的古巴患者进行了一项描述性、回顾性横断面研究。采用SPSS 22.0软件对数据进行自动化处理。采用频率分布分析、平均检验和齐性检验。结果:2472例活检中,77例(3.1%)诊断为ATIN。这种诊断的频率从1988-1998年期间的1.1%增加到1999-2008年期间的3%,2009-2018年期间增加到4.5% (p = 0.044)。主要表现形式为急性肾损伤(AKI)(83.1%), 11.7%的患者存在皮疹、嗜酸性粒细胞增多和发烧三联征,最常见的原因是药物治疗
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引用次数: 0
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Nefrología Latinoamericana
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