腎皮質壞死

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腎皮質壞死
(Renal cortical necrosis)
分类和外部资源
醫學專科 泌尿外科
ICD-10 N17.1
ICD-9-CM 583.6
eMedicine article/983599eMedicine

腎皮質壞死(Renal cortical necrosis、RCN,瀰漫性雙側腎皮質壞死(diffuse bilateral renal cortical necrosis、BRCN)、,瀰漫性皮質壞死(diffuse cortical necrosis)、急性皮質壞死(acute cortical necrosis)、急性皮質壞死急性腎功能衰竭(acute renal failure with acute cortical necrosis))是急性腎功能衰竭的一種罕見病症。該病症"通常通過顯著減少腎動脈灌注(Perfusion)繼發於血管痙攣、微血管損傷,或彌散性血管內凝血",以及由急性腎小管壞死的病理進展所致。[1]經常伴隨著產科病症發生、諸如胎盤早剝(Placental abruption)及敗血性休克,而且是三倍多見於發展中國家與工業化國家中(佔急性腎損傷的病因2%-6%)。

病因[编辑]

成年人[编辑]

新生兒[编辑]

病理生理學[编辑]

診斷[编辑]

治療[编辑]

患者需要以透析來彌補其腎臟的功能。

預後[编辑]

皮質壞死是一種嚴重的危及生命的病症,且死亡率超過50%。

註釋[编辑]

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