ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2015, Vol. 24 ›› Issue (1): 70-74.

• 论文 • 上一篇    下一篇

非甾体类抗炎药相关性急性肾损伤

  

  • 出版日期:2015-02-28 发布日期:2015-03-07

Non-steroidal anti-inflammatory drugs induced acute kidney injury

  • Online:2015-02-28 Published:2015-03-07

摘要:

摘要 非甾体类抗炎药(NSAIDs)相关性急性肾损伤(AKI)临床表现具有多样性,临床诊治困难,易被漏诊或误诊。随着NSAIDs的临床广泛应用,NSAIDs相关性AKI的发病率逐年升高,临床医生需要重新了解NSAIDs相关性AKI的发生发展机制,从而对其临床诊治特点有更深刻的认识。本文总结分析近年来有关NSAIDs相关性AKI的资料,探讨其流行病学、发病机制、临床表现、诊治、预后及预防进展。 

关键词: 非甾体类抗炎药, 性肾损伤, 列腺素, 氧合酶

Abstract:

ABSTRACT Due to the various clinical manifestations, it is not easy to confirm the diagnosis of non-steroidal anti-inflammatory drugs(NSAIDs) induced acute kidney injury(AKI), which might lead to the delay of treatment or even misdiagnosis. To be noted, the incidence of NSAIDs induced AKI gradually increased with the widespread use of NSAIDs, highlighting the importance of better understandings for this disease. Physicians, nephrologists in particularly, should further strengthen their alerts of NSAIDs induced AKI in clinics, especially for those susceptible populations. In this review, we are going to summarize the recent findings on NSAIDs-induced AKI, including epidemiology, pathogenesis, clinical manifestations and interventions.

Key words: non-steroidal anti-inflammatory drugs, acute kidney injury, prostaglandin, yclooxygenase