中风,慢性肾脏疾病和透析

P. Natarajan, G. Abraham
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引用次数: 0

摘要

以肾小球滤过和蛋白尿减少为特征的慢性肾脏疾病与心血管风险增加以及这些事件导致的死亡率增加相关。由于标准治疗的局限性,中风尤其可能成为CKD患者生活中的衰弱事件,即使出现在治疗时间窗内。我们讨论与CKD患者卒中相关的传统和非传统危险因素及其病理生理。此外,本文还综述了腹膜透析和血液透析在不同亚群卒中合并CKD患者中的优缺点。我们还讨论了治疗和控制与中风相关的危险因素的潜在未来研究领域。
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Stroke, Chronic Kidney Disease and Dialysis
Chronic kidney disease, characterized by decreased glomerular filtration and proteinuria are associated with increased cardiovascular risk, and mortality as a result of those events. Stroke, in particular can be a debilitating event in a CKD patient's life due to limitations of standard treatment in this population even if the presentation is within the therapeutic time window. We discuss the traditional and non traditional risk factors associated with stroke in CKD patients and their pathophysiology. In addition, this article reviews the advantages and disadvantages of peritoneal dialysis and hemodialysis in the different subsets of stroke patients with CKD. We also talk about potential future areas of research in treatment and controlling for the risk factors associated with stroke.
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