Zusammenfassung
Das akute Nierenversagen (ANV) stellt ein wichtiges klinisches Problem dar, weil es die Morbidität und Mortalität erhöht und auch langfristig nach Erholung der Nierenfunktion das Risiko für die Entwicklung eines chronischen Nierenversagens erhöht. Es wird zunehmend klarer, dass das ANV einerseits durch Vermittlung von Schädigungen anderer Organe, andererseits aber auch eigenständig das Morbiditäts- und Mortalitatsrisiko beeinflusst. Das ANV ist durch einen raschen, innerhalb von Stunden bis Tagen fortschreitenden Funktionsverlust der Niere gekennzeichnet. Ziel ist es in erster Linie, die Entwicklung eines ANV gerade bei Risikopatienten zu verhindern und die Therapie der Ursache entsprechend schnell einzuleiten, um eine rasche Erholung der Nierenfunktion zu erreichen. Ist dies nicht möglich, so kommt bei Patienten mit schwerem ANV ein Nierenersatzverfahren zum Einsatz.
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Lutz, J., Weinmann-Menke, J., Schamberger, B., Sollinger, D. (2015). Akutes Nierenversagen. In: Schwab, S., Schellinger, P., Werner, C., Unterberg, A., Hacke, W. (eds) NeuroIntensiv. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46500-4_16
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