机动车损伤和肾损伤:创伤、横纹肌溶解、急性肾损伤及其他。

4区 医学 Q3 Medicine Contributions to nephrology Pub Date : 2021-01-01 Epub Date: 2021-08-25 DOI:10.1159/000517694
Paula Frassinetti Castelo Branco Camurça Fernandes, José Hícaro Hellano Gonçalves Lima Paiva
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引用次数: 0

摘要

临床背景:汽车事故是世界范围内发病率和死亡率的主要原因之一。与交通事故相关的肾损伤通过多种机制发生。其机制包括直接外伤性损伤、横纹肌溶解、急性肾功能衰竭、低血容量性休克等。交通事故后肾损伤有不同形式的临床表现,包括器官形态和功能的改变。流行病学:每年约有135万人是机动车事故的致命受害者。挑战:识别和充分处理汽车事故引起的肾脏损伤是至关重要的,因为及时识别可以防止对器官的永久性损伤,有时还可以挽救生命。预防和治疗:以交通安全为重点的方法对所有用户都是理想的。这种方法的基础是安全的道路和路肩、适当的速度、安全的车辆和训练有素的驾驶员。由于这种情况造成的肾损伤和死亡可以通过有效和综合的交通立法来预防。交通事故发生后,有效的急救护理至关重要。因此,必须采取一系列紧急行动向受伤人员提供援助。对于因车祸而发生急性肾损伤和横纹肌溶解的患者,及时诊断对于仍处于早期阶段的患者提供帮助至关重要。
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Motor Vehicle Injury and Kidney Damage: Trauma, Rhabdomyolysis, Acute Kidney Injury and Beyond.

Clinical Background: Automobile accidents constitute one of the main causes of morbidity and mortality worldwide. Kidney injury related to automobile accidents occurs through several mechanisms. Among the mechanisms are direct traumatic injury, rhabdomyolysis, acute renal failure, hypovolemic shock, and others. Kidney injuries after traffic accidents can have different forms of clinical presentation, which can include morphological and functional changes of the organ. Epidemiology: Annually, approximately 1.35 million individuals are fatal victims of motor vehicle accidents. Challenges: It is of the utmost importance to recognize and adequately manage kidney injuries secondary to automobile events, since their timely identification can prevent permanent damage to the organ and, at times, save lives. Prevention and Treatment: An approach with a focus on traffic safety is ideal for all users. The cornerstones of this approach are safe roads and road shoulders, adequate speeds, safe vehicles, and trained drivers. Kidney injury and death due to this condition can be prevented by effective and integrated traffic legislation. After the occurrence of traffic accidents, effective emergency care is vital. Thus, a series of urgent actions are essential to provide assistance to the injured individual. In patients who are victims of car accidents and develop acute kidney injury and rhabdomyolysis, a timely diagnosis is extremely important to be able to offer assistance to the patient still in the early stages.

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来源期刊
Contributions to nephrology
Contributions to nephrology 医学-泌尿学与肾脏学
CiteScore
1.50
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: The speed of developments in nephrology has been fueled by the promise that new findings may improve the care of patients suffering from renal disease. Participating in these rapid advances, this series has released an exceptional number of volumes that explore problems of immediate importance for clinical nephrology. Focus ranges from discussion of innovative treatment strategies to critical evaluations of investigative methodology. The value of regularly consolidating the newest findings and theories is enhanced through the inclusion of extensive bibliographies which make each volume a reference work deserving careful study.
期刊最新文献
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