腎功能檢查1全解課件

仔管輸尿管RenalfunctionTest腎功能檢查p349仔管1KidneydiseasesUrinetests:urinalysisandothersCheapandconvenientForscreeningandfollowing今Renalbiopsy心RenalfunctionsGlomerulus:filltrationTubule:reabsorptionandacidification☆I(lǐng)magingExaminationImmunologicaltestKidneydiseases2WhenandforWhat4KidneydiseasesorinjuriesOverallcheckupoKidneyfunctionassessmentwithotherdiseasesDiabetesmellitusHypertensionShockorextensiveburnAuto-immunologicaldiseases☆DrugtoxicityWhenandforWhat3StructureofKidney近端小管曲部遠(yuǎn)端小管曲部血管球腎小休「腎小球腎單位腎小囊形集合小管近端小管直部近曲小管髓質(zhì)腎小管〈髓袢髓袢遠(yuǎn)曲小管端小管直部集合小管集合管細(xì)段StructureofKidney4FUNCTIONSOFKIDNEYExcretemetabolicproducts/wastessKeepthebalanceofwater,acid-baseandelectrolyte☆Endocrinefunction:EPO(erythropoietin):RBCproduct1,25(01)2D3:Calciumandphosphorusrenin:boodpressureregulationFUNCTIONSOFKIDNEY5Relatedconcepts◆急性腎衰AFR腎前性Pre-renal:休克早期、大面積燒傷、脫水等功能性腎性renal:器質(zhì)性腎小管上皮細(xì)胞壞死腎臟本身:腎小球腎炎、腎盂腎炎、狼瘡腎炎腎動(dòng)脈血栓、栓塞腎后性postrenal:結(jié)石、腫瘤、前列腺肥大等尿路梗阻Relatedconcepts6RelatedconceptsStagesforrenalfailure代償期compensatorystage失代償期decompensatorystage:氮質(zhì)血癥Azotemia:血中尿素氮BUN或肌酐sCR超出正常范圍腎性腎前性腎后性衰竭期Failurestage尿毒癥期UremiaStage:綜合癥候群,“尿潴留在血中而引起的中毒Relatedconcepts7RelatedconceptsCommonsymptomsofAFR少尿期oliguriastageOliguriaoranuria,Hematuria,Proteinuriaandsomekindsofcasts·WaterintoxicationHyperpotassemiaMetabolicacidosisAzotemia多尿期polyuriastage恢復(fù)期recoverystageRelatedconcepts8RelatedconceptsCommonsymptomsofCFREarlystagepolyuria,Nocturia,Hematuria,Proteinuriaandsomekindsofcasts·Azotemia·WaterintoxicationMetabolicacidosis(moderate)HypopotassemiaLatestage:asabove,Uremia,hyperpotassemia,hypertension,Osteodystrophy,anemia,bleedingtendency…Relatedconcepts9Testsofglomerularfunction小功拉查胃小球流功能Testsofglomerularfunction10腎功能檢查1全解課件11腎功能檢查1全解課件12腎功能檢查1全解課件13腎功能檢查1全解課件14腎功能檢查1全解課件15腎功能檢查1全解課件16腎功能檢查1全解課件17腎功能檢查1全解課件18腎功能檢查1全解課件19腎功能檢查1全解課件20腎功能檢查1全解課件21腎功能檢查1全解課件22腎功能檢查1全解課件23腎功能檢查1全解課件24腎功能檢查1全解課件25腎功能檢查1全解課件26腎功能檢查1全解課件27腎功能檢查1全解課件28腎功能檢查1全解課件29腎功能檢查1全解課件30腎功能檢查1全解課件31腎功能檢查1全解課件32腎功能檢查1全解課件33腎功能檢查1全解課件34腎功能檢查1全解課件35腎功能檢查1全解課件36腎功能檢查1全解課件37腎功能檢查1全解課件38腎功能檢查1全解課件39腎功能檢查1全解課件40腎功能檢查1全解課件41腎功能檢查1全解課件42腎功能檢查1全解課件43腎功能檢查1全解課件44腎功能檢查1全解課件45腎功能檢查1全解課件46腎功能檢查1全解課件47仔管輸尿管RenalfunctionTest腎功能檢查p349仔管48KidneydiseasesUrinetests:urinalysisandothersCheapandconvenientForscreeningandfollowing今Renalbiopsy心RenalfunctionsGlomerulus:filltrationTubule:reabsorptionandacidification☆I(lǐng)magingExaminationImmunologicaltestKidneydiseases49WhenandforWhat4KidneydiseasesorinjuriesOverallcheckupoKidneyfunctionassessmentwithotherdiseasesDiabetesmellitusHypertensionShockorextensiveburnAuto-immunologicaldiseases☆DrugtoxicityWhenandforWhat50StructureofKidney近端小管曲部遠(yuǎn)端小管曲部血管球腎小休「腎小球腎單位腎小囊形集合小管近端小管直部近曲小管髓質(zhì)腎小管〈髓袢髓袢遠(yuǎn)曲小管端小管直部集合小管集合管細(xì)段StructureofKidney51FUNCTIONSOFKIDNEYExcretemetabolicproducts/wastessKeepthebalanceofwater,acid-baseandelectrolyte☆Endocrinefunction:EPO(erythropoietin):RBCproduct1,25(01)2D3:Calciumandphosphorusrenin:boodpressureregulationFUNCTIONSOFKIDNEY52Relatedconcepts◆急性腎衰AFR腎前性Pre-renal:休克早期、大面積燒傷、脫水等功能性腎性renal:器質(zhì)性腎小管上皮細(xì)胞壞死腎臟本身:腎小球腎炎、腎盂腎炎、狼瘡腎炎腎動(dòng)脈血栓、栓塞腎后性postrenal:結(jié)石、腫瘤、前列腺肥大等尿路梗阻Relatedconcepts53RelatedconceptsStagesforrenalfailure代償期compensatorystage失代償期decompensatorystage:氮質(zhì)血癥Azotemia:血中尿素氮BUN或肌酐sCR超出正常范圍腎性腎前性腎后性衰竭期Failurestage尿毒癥期UremiaStage:綜合癥候群,“尿潴留在血中而引起的中毒Relatedconcepts54RelatedconceptsCommonsymptomsofAFR少尿期oliguriastageOliguriaoranuria,Hematuria,Proteinuriaandsomekindsofcasts·WaterintoxicationHyperpotassemiaMetabolicacidosisAzotemia多尿期polyuriastage恢復(fù)期recoverystageRelatedconcepts55RelatedconceptsCommonsymptomsofCFREarlystagepolyuria,Nocturia,Hematuria,Proteinuriaandsomekindsofcasts·Azotemia·WaterintoxicationMetabolicacidosis(moderate)HypopotassemiaLatestage:asabove,Uremia,hyperpotassemia,hypertension,Osteodystrophy,anemia,bleedingtendency…Relatedconcepts56Testsofglomerularfunction小功拉查胃小球流功能Testsofglomerularfunction57腎功能檢查1全解課件58腎功能檢查1全解課件59腎功能檢查1全解課件60腎功能檢查1全解課件61腎功能檢查1全解課件62腎功能檢查1全解課件63腎功能檢查1全解課件64腎功能檢查1全解課件65腎功能檢查1全解課件66腎功能檢查1全解課件67腎功能檢查1全解課件68腎功能檢查1全解課件69腎功能檢查1全解課件70腎功能檢查1全解課件71腎功能檢查1全解課件72腎功能檢查1全解課件73腎功能檢查1全解課件74腎功能檢查1全解課件75腎功能檢查1全解課件76腎功能檢查1全