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Spezielle Ursache einer Niereninsuffizienz nach Dominolebertransplantation 高级尿检移植后产生肾功能衰竭
Q4 Medicine Pub Date : 2021-02-18 DOI: 10.1007/s11560-021-00490-6
H. Frank, C. Röcken
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引用次数: 0
Xenotransplantation solider Organe 异种移植巩固剂Organe
Q4 Medicine Pub Date : 2021-02-15 DOI: 10.1007/s11560-021-00486-2
E. Wolf, B. Reichart
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引用次数: 0
Alles hängt zusammen – oder auch nicht? 一切都是相连的——还是不相连?
Q4 Medicine Pub Date : 2021-02-05 DOI: 10.1007/s11560-021-00488-0
M. Fleck, C. Buser, H. Hopfer, M. Gregor, A. Fischer
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引用次数: 0
Renale Manifestationen bei systemischen Autoimmunerkrankungen 系统自动免疫疾病的驯鹿表现
Q4 Medicine Pub Date : 2021-01-26 DOI: 10.1007/s11560-020-00483-x
S. Dolff, B. Wilde
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引用次数: 0
Akutes Nierenversagen bei Sepsis 败血症导致急性肾衰竭
Q4 Medicine Pub Date : 2021-01-25 DOI: 10.1007/s11560-020-00482-y
S. Mitzner
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引用次数: 0
Akute Nierenschädigung bei kardiorenalem Syndrom 心肾综合征的急性肾损伤
Q4 Medicine Pub Date : 2021-01-22 DOI: 10.1007/s11560-020-00481-z
G. S. Braun, Katharina Kittelmann, J. Floege
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引用次数: 0
Mitteilungen des BDI. BDI通信
Q4 Medicine Pub Date : 2021-01-01 Epub Date: 2021-02-18 DOI: 10.1007/s11560-021-00491-5
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引用次数: 0
[Thrombotic microangiopathy]. 血栓性微血管病。
Q4 Medicine Pub Date : 2021-01-01 Epub Date: 2021-02-03 DOI: 10.1007/s11560-021-00487-1
Anja Gäckler, Oliver Witzke

Thrombotic microangiopathy (TMA) is characterized by an endothelium injury-associated formation of platelet clots in arterial and venous microvessels. Concomitant ischemia causes severe organ dysfunction and can be acutely life threatening. The underlying etiology of TMA shows a very heterogeneous disease spectrum. In addition to thrombotic thrombocytopenic purpura, which is characterized by a greatly reduced activity of a disintegrin and metalloproteinase with a thrombospondin type 1 motif, member 13 (ADAMTS13), infection-associated classical hemolytic uremic syndrome (HUS) and complement-mediated atypical HUS (aHUS), further very rare diseases or secondary forms can be present. The differential diagnostic classification is pivotal as different treatment approaches are necessary. Initiation of novel specific pharmacotherapy methods has greatly improved the prognosis of TMA.

血栓性微血管病(TMA)的特点是动脉和静脉微血管中内皮损伤相关的血小板凝块形成。伴随的缺血会导致严重的器官功能障碍,并可能严重危及生命。TMA的潜在病因显示出非常不均匀的疾病谱。除了血栓性血小板减少性紫癜,其特征是具有血小板反应蛋白1型基元的崩解素和金属蛋白酶活性大大降低,成员13 (ADAMTS13),感染相关的经典溶血性尿毒症综合征(HUS)和补体介导的非典型溶血性尿毒症(aHUS),进一步的非常罕见的疾病或继发性形式可能存在。鉴别诊断分类是关键,因为不同的治疗方法是必要的。新的特异性药物治疗方法的开始极大地改善了TMA的预后。
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引用次数: 5
[COVID-19 and kidney involvement]. [COVID-19与肾脏受累]。
Q4 Medicine Pub Date : 2021-01-01 Epub Date: 2020-12-11 DOI: 10.1007/s11560-020-00469-9
K Amann, P Boor, T Wiech

Apart from the pulmonary disease, acute kidney injury is one of the most frequent and most severe organ complications in severe coronavirus disease 2019 (COVID-19). Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) could also be detected in renal tissue. Patients with chronic kidney disease and on dialysis as well as kidney transplantation patients represent a particularly vulnerable population. The increasing number of patients infected with SARS-CoV‑2 has aroused increased interest in the exact pathophysiology and morphology of kidney damage as well as the direct detection of the virus in the kidneys, which in contrast to the lungs is overall more difficult to perform. Meanwhile, data from several large autopsy and kidney biopsy studies are now available. While the detection of SARS-CoV‑2 RNA in tissue leads to consistently reproducible results, the use of electron microscopy for visualization of the virus is critically discussed due to various artefacts. The exact and direct effects of SARS-CoV‑2 on the kidneys are not yet known in detail and are currently the focus of intensive research.

除了肺部疾病外,急性肾损伤是2019年严重冠状病毒病(COVID-19)中最常见和最严重的器官并发症之一。肾组织中也可检出严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)。慢性肾脏疾病患者、透析患者以及肾移植患者是特别脆弱的人群。感染SARS-CoV‑2的患者越来越多,这引起了人们对肾脏损伤的确切病理生理学和形态学以及肾脏中病毒的直接检测的兴趣,与肺部相比,肾脏中病毒的直接检测总体上更加困难。与此同时,几项大型尸检和肾活检研究的数据现在已经可用。虽然在组织中检测SARS-CoV‑2 RNA可获得一致的可重复性结果,但由于存在各种伪影,因此对使用电子显微镜对病毒进行可视化进行了严格讨论。SARS-CoV‑2对肾脏的确切和直接影响尚不清楚,目前是深入研究的重点。
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引用次数: 3
[Digital nephrology]. (数字肾脏学)。
Q4 Medicine Pub Date : 2021-01-01 Epub Date: 2021-01-05 DOI: 10.1007/s11560-020-00478-8
Kristina Boss, Alexander Woywodt, Andreas Kribben, Nils Mülling, Stefan Becker
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引用次数: 0
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