肾脏病学与治疗学杂志

Patients with advanced Chronic Heart Failure (CHF) are inclined to decrease renal capacity due to poor renal perfusion and abundance vasoconstriction. The intense administration of patients with decompensated CHF is frequently muddled by worry for precipitating deteriorating renal capacity. Despite the fact that diuretics and Angiotensin-Converting Enzyme Inhibitors (ACEIs) work on cardiovascular yield and for the most part work on renal perfusion in patients with decompensated CHF, a few patients have deteriorating of renal capacity. When aggravated renal dysfunction does occur, doses of ACEIs and diuretics are often reduced or with held in an attempt to preserve renal function. This training might be improper in patients with diligently raised filling tensions and low cardiovascular yield. Exasperated renal dysfunction may in this way drag out the intense therapy period of CHF, defer the help of indications, and result in imperfect dosing of ACEIs— specialists with portion subordinate long term good results in CHF.

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???????? (IS) ??????? ( p CS) ????? (CKD) ?????????????????????????????????????????????? (CVD) ???????????????? IS ?p CS ?????????? (PD) ????????????? CVD?

????119?PD????????????????????????UPLCMS/MS?????IS?p CS?????????????????????????????????????????????????IS?p CS????????????????????????????????OR?95??????CI???

??? PD????BMI?20.10?18.95?22.90?kg/m ²???IS?p CS???????22.46?13.45?29.92?mg/L?12.41?5.29?24.45?mg/L???IS???PD???????????????β2-?????β2-m????????????r?p????0.22?P=0.020??0.48?P<0.001??0.32?P<0.001??0.34?P<0.001??0.28?P=0.002??0.50?P<0.001?????IS ????????? (eGFR)-0.46 (P<0.001) ???????????????????p CS ???? 0.32 (P<0.001) ???????????

??????????????????IS?p CS???????????????????????????????????????????????

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???????? 2017 ? 1 ? 1 ?? 2020 ? 12 ? 31 ?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

???? 82 ????????35 ??43%???????? 47 ??57%????????????????????????????????????BMI???????????????????????

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Renal transplantation acts novel difficulties in youngsters like the authoritative treatment of end stage renal infection. The supply of kidneys, surgical technical challenges, immunosuppression treatment, development and improvement, and social contemplations entangle the administration of end stage renal infection in kids. Also, youngsters have a higher affinity of basic lower urinary parcel anomalies contrasted with the grown-up with procured renal infection. The writing is dubious in the conversation of the standardization of the urinary plot brokenness previously during or after transplantation. Be that as it may, the need and timing of the expansion stay unanswered.