肾脏疾病的诊治进展与临证经验.ppt

ARFinCKD(A/C)isanimportantcomplicationofCKD104patientsofA/Caccountedfor35.5%ofARFcaseswithrenalbiopsyduringthesameperioddrug-inducedacuterenalinterstitialortubulointerstitialdisease,pre-renalARFandflare-upoflupusnephritiswerethemostcommoncausesofARFinA/Cpatients.occurredmorecommonlyinolderpatientsZhangL,etal.ClinNephrol.2019;63:346-350.CVDisthemostimportantcauseofdeathamongChinesedialysispatients2529caseswithdialysisweredeadinChinain2019.Heartfailureandcerebrovascularaccidentaccountedfor32%and19%,respectively.Besides,16%patientsdiedofdialysisinterruptionautomatically,whichmightberelatedtothefinancialproblem.Inanotherreport,CVDisthesinglemostimportantcauseofdeathamongdialysispatients,accountingfor51%ofoverallmortality.DialysisandTransplantationRegistrationGroup.ChinJNephrol.2019;17:77-78.CVDin1239ChineseCKDpatientsThemostprevalentpathologicalformofCVDwasleftventricularhypertrophy(LVH),accountingfor58.5%oftotalpatients.HouFF,etal.ZhonghuaYiXueZaZhi.2019;85:458-463.CHFCADCVAPrevalenceofCVD(%)27.716.55.6EpidemiologyofcardiovascularriskinChinesechronickidneydiseasepatientsCreactiveproteinFemaleandanemiaCalciumphosphateproductHypoalbuminemiaDiabetesAgeHypertensionHouFF,etal.NatlMedJChina,2019;85:753-759prevalenceofTBanti-TB-ABPPDtestsCRF4.74%12.7%15.5%Residents0.15%72.1%58.1%YuanFH,etal.RenFail.2019;27:149-153.PrevalenceandcharacteristicsofTuberculosisin1,498inpatientswithCRFRiskfactorsorriskmarkersofchronickidneydiseaseHypertension,diabetes,hyperlipidaemia,obesity,andsmokingasriskfactorsormarkersinthegeneralpopulationforthedevelopmentofCKD.Mostnotableamongthemodifiableprogressionfactorsissystemichypertension.ProteinuriaisareliablemarkeroftheseverityofCKD