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SM ISO690:2012 ROMANIUC, Iuliana, VLASOV, Lilia, CAPROŞ, Cristina. Evaluarea clinico-biologică și analiza indicilor hemodinamicii renale la persoanele vârstnice cu injurie renală acută. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 255. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Background. Acute renal injury (ARI) has traditionally been defined as a sudden loss of renal function and is characterized by a rapid decline (hours, days) in glomerular filtration rate. The ARI rate is estimated at 5% of hospitalized patients and about 20% in intensive care, and mortality is 10%, reaching up. Objective of the study. clinical-biological evaluation and estimation of renal hemodynamic disorders in the elderly with ARI. Material and Methods. A study was performed with the inclusion of 122 elderly patients from nephrology and intensive care units hospitalized with ARI and age 74.32 ± 6.8 years, predominantly men (61.48%). The control group consisted of 20 elderly patients without ARI. Patients were evaluated according to the European Guide in force. Color Doppler ultrasound in the main trunks of the renal arteries. Results. The main causes of ARI in the elderly were infections (sepsis), cardiovascular disease (cardiogenic shock), and nephrotoxic drugs. Out of the total number of 122 elderly people, 18 patients previously suffered from chronic renal disease st.II, renal impairment was interpreted as overlapping ARI. The values of the resistance index and the pulse index on the trunk of the renal arteries in elderly patients with ARI compared to patients without IRA were significantly increased (p<0.001). Resistance indices and pulsed indices on the right segmental and left segmental renal arteries in elderly patients with ARI compared to patients without ARI had high values (p <0.001). Conclusion. In elderly patients, predominantly in men with ARI, renal hypoperfusion was found decreased by ultrasound blood flow on the vascular intrarenal territory and increased vascular resistance in the segmental intrarenal vessels. |
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Cuvinte-cheie acute renal injury, renal hemodynamics, pulsatility indices, injurie renală acută, hemodinamică renală, indici de pulsatilitate |
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