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Sepsiste Akut Böbrek Yetmezliği

Acute Renal Failure in Sepsis

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2006
Author NameUniversity of AuthorFaculty of Author
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Abstract (Original Language): 
Bilindiği gibi, akut böbrek yetmezliği (ABY), böbreğin işlevlerinin günler ve saatler içinde gittikçe bozularak hastanın üremi kliniğine girmesi anlamını taşır. Çok çeşitli nedenlerle akut böbrek yetmezliği tablosu gelişir ve birçok sistemik hastalığa da eşlik eder. ABY, yoğun bakım ünitesine başvuran hastalarda sıkça rastlanan bir komplikasyondur. Kritik yoğun bakım hastalarında ABY gelişimine yol açan fak¬ törler neden olan hastalık ve hastanın özellikleri ile yakından ilişkilidir. Bu özel hasta grubunda sepsis, ABY'nin en önemli nedenlerinden biridir; yoğun bakım unitelerindeki hastaların yaklaşık %50'sini etki¬ lemektedir ve diğer ABY nedenleri arasında en yük¬ sek ölüm riski taşıması açısından da dikkat çekicidir. Sepsisten yıllık ölüm oranı Amerika Birleşik Devletleri'nde (ABD) akut miyokard infarktüsüne yakın düzeye ulaşmaktadır. Klasik bilgiler, yaşlı hastaların ve sıvı tedavisinde geri kalınan hastaların, hipertan¬ siyon ve diyabeti olan, miyokard yetersizliği bulunan hastaların ABY için risk taşıdığı yönünde idi.
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REFERENCES

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