ANTICOAGULANTS IN "IRREVERSIBLE" ACUTE RENAL FAILURE

6 consecutive cases of oliguric renal failure shown histologically to be due to glomerulonephritis or obstructive lesions in arterioles and glomeruli improved considerably following continuous high-dose infusion of heparin, which was given in addition to steroids and immunosuppressive drugs. The pro...

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Veröffentlicht in:The Lancet (British edition) 1968-01, Vol.292 (7583), p.1360-1363
Hauptverfasser: Kincaid-Smith, Priscilla, Saker, B.M., Fairley, K.F.
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container_end_page 1363
container_issue 7583
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container_title The Lancet (British edition)
container_volume 292
creator Kincaid-Smith, Priscilla
Saker, B.M.
Fairley, K.F.
description 6 consecutive cases of oliguric renal failure shown histologically to be due to glomerulonephritis or obstructive lesions in arterioles and glomeruli improved considerably following continuous high-dose infusion of heparin, which was given in addition to steroids and immunosuppressive drugs. The prompt improvement in renal function which followed heparin infusion suggests that this method of treatment may have some direct effect on the underlying lesion as has been demonstrated in animals. 2 patients died from diffuse vascular lesions in other organs, but 4 were well at two to nine months after the onset of the renal failure, with blood-urea levels between 23 and 40 mg. per 100 ml.
doi_str_mv 10.1016/S0140-6736(68)92671-8
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source Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE
subjects Acute Kidney Injury - drug therapy
Adolescent
Adult
Anticoagulants - therapeutic use
Arteritis - complications
Creatinine - blood
Dipyridamole - therapeutic use
Female
Glomerulonephritis - complications
Glomerulonephritis - drug therapy
Heparin - therapeutic use
Humans
Kidney Failure, Chronic - etiology
Kidney Failure, Chronic - urine
Kidney Function Tests
Male
Middle Aged
Phenindione - therapeutic use
Purpura, Thrombotic Thrombocytopenic - complications
title ANTICOAGULANTS IN "IRREVERSIBLE" ACUTE RENAL FAILURE
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