资源描述:
《重复使用对比剂对肾脏损伤的临床分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、第三军医大学硕士学位论文缩略语表英文缩写英文全称中文全称ALBalbumin血清白蛋白ARFacuterenalfailure急性肾功能衰竭β2—MGbeta2-microglobulinβ2微球蛋白CAGcoronaryangiography冠脉造影术CHFchronicheartfailure慢性心力衰竭CINcontrast-inducednephropathy对比剂肾病CysCcystatinC半胱氨酸蛋白酶抑制剂CDBPdiastolicpressure舒张压eGFRestimatedglomerularf
2、iltrationrate估算的肾小球滤过率HDL-Chighdensitylipoproteincholesterol高密度脂蛋白胆固醇HGBhaemoglobin血红蛋白HsCRPhighsensitivec-reactiveProtein高敏C反应蛋白LDL-Clowdensitylipoproteincholesterol低密度脂蛋白胆固醇LVEFleftventricularejectionfraction左室射血分数PCIpercutaneouscoronaryintervention经皮管状动脉介入术S
3、BPsystolicpressure收缩压TCtotalcholesterol总胆固醇TGtriglyceride甘油三酯UAuricacid尿酸1第三军医大学硕士学位论文Clinicalstudyofcontrast-inducednephropathyinpatientsundergoingrepeatedcoronaryinterventionAbstractBackgroundandobjectiveContrast-InducedNephropathy(CIN)wasfirstreportedin1954b
4、yBartelsetalwhodescribedtheonsetofrenalfailureinapatientwithmultiplemyeloma.Sincethen,thousandsofCINcaseshavebeenreported.Recentyears,withthedevelopmentofInterventionalMedicineandNuclearMedicineDiagnosisandTreatment,especiallytherapiddevelopmentofinterventional
5、diagnosisandtreatmentincardiovasculardisease,astheprogressiveclinicalapplicationofcontrastagentprogressivewhichledtotheincreaseincidenceofCIN.TheincidenceofCINcontributestothethirdleadingcauseofprognosisofacuterenalfailure(ARF)inhospital;anothermajorcausesaresu
6、rgeryandhypotension.PatientswhodevelopCINnotonlyhavebeenshowntohaveahigherrateofin-hospitalmortalitybutalsoincreasetheriskofothercomplicationwhichcontributetothesignificantelevationofinvalidismrateandcasefatalityrateandrelatedtolong-termrenalinsufficiency.Inadd
7、ition,CINpatientsalsoneedtospentmoremoneyandtimeinhospital.Thereareapproximate1millionpatientsreceiveradiography,nearly15,0000patientswillsufferCINandtheprevalenceofCINisincreasing.ThereportedincidenceofCINfollowingcoronaryangiographyrangesfrom1%-50%,mainlyrela
8、tedtotheexistedriskfactors,includingchronicrenaldisease,diabetes,eld,hypovolemia,anemia,hypotension,nephrotoxicdrugsapplication,heart-failure,hypoproteinemiaandsoon,withmore