肾皮质坏死

肾皮质坏死(Renal cortical necrosis、RCN,弥漫性双侧肾皮质坏死(diffuse bilateral renal cortical necrosis、BRCN)、,弥漫性皮质坏死(diffuse cortical necrosis)、急性皮质坏死(acute cortical necrosis)、急性皮质坏死急性肾功能衰竭(acute renal failure with acute cortical necrosis))是急性肾功能衰竭的一种罕见病症。该病症"通常通过显著减少肾动脉灌注(Perfusion)继发于血管痉挛、微血管损伤,或弥散性血管内凝血",以及由急性肾小管坏死的病理进展所致。[1]经常伴随著产科病症发生、诸如胎盘早剥(Placental abruption)及败血性休克,而且是三倍多见于发展中国家与工业化国家中(占急性肾损伤的病因2%-6%)。

肾皮质坏死
(Renal cortical necrosis)
类型肾病变肾皮质病变[*]
分类和外部资源
医学专科泌尿外科
ICD-10N17.1
ICD-9-CM583.6
eMedicinearticle/983599eMedicine
[编辑此条目的维基数据]

病因

成年人

新生儿

病理生理学

诊断

治疗

患者需要以透析来弥补其肾脏的功能。

预后

皮质坏死是一种严重的危及生命的病症,且死亡率超过50%。

注释

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  2. ^ Bakshsish Singh, Ankur Gupta, Sandeep Mahajan, Ruchika Gupta. Acute cortical necrosis and collapsing glomerulopathy in an HIV-infected patient: a rare clinical scenario. Saudi Journal of Kidney Diseases and Transplantation: An Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia. 2012-03, 23 (2): 363–366 [2019-02-12]. ISSN 1319-2442. PMID 22382240. (原始内容存档于2019-08-23). 
  3. ^ Susheel Kumar, Aman Sharma, Kushaljit S. Sodhi, Ajay Wanchu, Niranjan Khandelwal, Surjit Singh. Renal cortical necrosis, peripheral gangrene, perinephric and retroperitoneal haematoma in a patient with a viper bite. Tropical Doctor. 2012-04, 42 (2): 116–117 [2019-02-12]. ISSN 1758-1133. PMID 22316624. doi:10.1258/td.2011.110281. (原始内容存档于2019-08-23). 
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  6. ^ Megha S. Uppin, Liza Rajasekhar, H. Swetha, V. R. Srinivasan, Aruna K. Prayaga. Renal cortical necrosis at presentation in a patient with systemic lupus erythematosus: an autopsy case report. Clinical Rheumatology. 2010-07, 29 (7): 815–818 [2019-02-12]. ISSN 1434-9949. PMID 20169460. doi:10.1007/s10067-010-1395-5. (原始内容存档于2019-08-21). 
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  9. ^ Cristina Novembrino, Rachele De Giuseppe, Federica de Liso, Paola Bonara, Fabrizia Bamonti. Vitamin deficiency and renal cortical necrosis. Lancet (London, England). 2010-07-17, 376 (9736): 160; author reply 161 [2019-02-12]. ISSN 1474-547X. PMID 20638557. doi:10.1016/S0140-6736(10)61101-4. (原始内容存档于2019-08-23). 
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  11. ^ K. V. Baliga, A. S. Narula, R. Khanduja, M. Manrai, P. Sharma, N. S. Mani. Acute cortical necrosis in Falciparum malaria: an unusual manifestation. Renal Failure. 2008, 30 (4): 461–463 [2019-02-12]. ISSN 1525-6049. PMID 18569922. doi:10.1080/08860220801964293. (原始内容存档于2019-08-18). 
  12. ^ H.-S. Toh, K.-C. Cheng, W.-K. Kuar, C.-K. Tan. The Case. Generalized petechiae and acute renal failure: bilateral renal cortical necrosis in meningococcemia. Kidney International. 2008-06, 73 (12): 1443–1444 [2019-02-12]. ISSN 1523-1755. PMID 18516063. doi:10.1038/ki.2008.143. (原始内容存档于2019-08-19). 
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