小结
鉴别诊断
常见
- 肾小球肾炎
- 糖尿病肾病
- 系统性血管炎
- 药物相关性肌酐增加
- 造影剂肾病
- 休克
- 容量不足
- 高血压
- 充血性心力衰竭
- 子痫前期
- 急性间质性肾炎
- 急性肾小管坏死
- 心脏手术
- 肾切除术
- 肾移植排斥反应
- 生物学相关的血肌酐变化
不常见
- 肾静脉血栓
- 放疗
- 内源性肾毒素(肌红蛋白、尿酸、钙化防御)
- 肾动脉狭窄
- 外伤性肾梗死
- 多发胆固醇栓塞综合征
- 梗阻性尿道疾病
- 肌肉素摄入
- 遗传性肾脏疾病
- 肌酐测量方法的不同
- 检测干扰物质
撰稿人
作者
Michiko Shimada, MD, PhD, FASN
Assistant Professor of Medicine
Division of Cardiology, Respiratory Medicine, and Nephrology
Hirosaki University Graduate School of Medicine
Hirosaki
Japan
利益声明
MS declares that she has no competing interests.
Bhagwan Dass, MD, FACP, FASN
Associate Professor of Medicine
Division of Hospital Medicine
University of Florida
Gainesville
FL
利益声明
BD declares that he has no competing interests.
A. Ahsan Ejaz, MD, FASN
Professor of Medicine
Division of Nephrology, Hypertension and Transplantation
University of Florida
Gainesville
FL
利益声明
AAE declares that he has no competing interests.
鸣谢
Dr Michiko Shimada, Dr Bhagwan Dass, and Dr A. Ahsan Ejaz would like to gratefully acknowledge Dr Puneet Sood, a previous contributor to this topic.
利益声明
PS declares that he has no competing interests.
同行评议者
Janson Leung, MD
Consultant Nephrologist
Royal Derby Hospital
Derby
UK
利益声明
JL has been reimbursed by Abbott for attending several conferences. JL has also received a fee from Shire for attending an advisory board meeting.
Zvi Talor, MD, FACP
Professor of Medicine
Division of Nephrology, Hypertension and Transplantation
University of Florida
Gainesville
FL
利益声明
ZT declares that he has no competing interests.
指南
- 急性肾损伤:预防、识别和管理
- 慢性肾病:评估和管理
更多 指南患者教育信息
心衰
心力衰竭:我如何帮助自己?
更多 患者教育信息医学计算器
使用 Cockcroft-Gault 方程式进行肌酐清除率估算
根据 MDRD 研究简化公式估算肾小球滤过率(国际单位制单位)
更多 医学计算器- 登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明