Çocuklarda Akut Böbrek Hasarı

Year 2024, , 1 - 3, 30.04.2024

Arife Uslu Gökçeoğlu , Ahmet Aslan

https://doi.org/10.30565/medalanya.1457860

Abstract

Akut böbrek hasarı (ABH), böbrek fonksiyonlarında ani bozulma, kan üre nitrojeni (BUN) ve serum kreatinin düzeyinde artış, hiperkalemi, metabolik asidoz ve hipertansiyon ile karakterize klinik bir durumdur. ABH tanımlanırken, serum kreatinin düzeyi ve idrar miktarına göre belirlenen kriterlerden oluşan güncel kılavuzlar kullanılmaktadır. ABH'nın üç ana nedeni vardır; prerenal, renal ve postrenal. Prerenal ABH, çocuklarda en sık görülen etyolojidir. ABH'nın klinik semptomları etiyolojiye göre farklılık gösterir. ABH'li bir çocuğu değerlendirirken, kreatinin düzeyindeki artışın tipik olarak böbrek hasarından 48 saat sonra meydana geldiği ve 2-3 gün önceki olayların sonucu olduğu unutulmamalıdır. ABH'nın prognozu etyolojiye göre değişiklik göstermektedir.

Keywords

çocuk, akut böbrek hasarı, serum kreatinin, idrar miktarı

Acute Kidney Injury In Children

Abstract

Acute kidney injury (AKI) is a clinical condition characterized by sudden deterioration in kidney functions, increase in blood urea nitrogen (BUN) and serum creatinine levels, hyperkalemia, metabolic acidosis and hypertension. When defining AKI, current guidelines that consist of criterias determined by serum creatinine level and urine output are used. There are three main causes of AKI; prerenal, renal and postrenal. Prerenal AKI is most common etiology in children. Clinical symptoms of AKI vary depending on etiology. When evaluating a child with AKI, it should be noted that an increase in creatinine typically occurs 48 hours after renal injury and is the result of events 2-3 days earlier. The prognosis of AKI varies depending on the etiology.

Keywords

children, acute kidney injury, serum creatinine, urine output

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