论文部分内容阅读
目的探讨利福平致急性肾功能衰竭(ARF)不同的病理类型、治疗方法及预后。方法 2例因利福平致急性肾功能衰竭不同类型,1例2个月后加用大剂量激素治疗,总结相关文献,修订不同的治疗方案。结果 1例急性肾小管坏死治愈,1例急性间质性肾炎发展为慢性肾功能衰竭。结论利福平致急性肾功能衰竭有条件单位及时行肾活检明确病理类型,及时选择治疗方案,如有肾活检禁忌患者或没有肾活检条件单可早期用适量激素治疗,可促进急性间质肾炎肾功能的恢复。
Objective To investigate the different pathological types, treatment and prognosis of rifampin-induced acute renal failure (ARF). Methods Two cases of different types of acute renal failure due to rifampicin, 1 case 2 months after the addition of large doses of hormone therapy, summarize the relevant literature, revision of different treatment options. Results One case of acute tubular necrosis was cured and one case of acute interstitial nephritis developed chronic renal failure. Conclusions Rifampicin induced acute renal failure with conditional units prompt renal biopsy to confirm the pathological type, timely treatment options, such as renal biopsy or patients without renal biopsy conditions can be a single early with appropriate hormone treatment can promote acute interstitial nephritis Renal function recovery.