Acute kidney injury is a group of clinical syndromes, which refers to a sudden (within 1-7 days) and sustained (>24 hours) sudden decline in renal function and an increase in serum creatinine, manifested by azotemia, water-electrolyte and acid-base balance, and

Systemic symptoms throughout the body may be accompanied by oliguria1 or anuria.

Acute kidney injury can be divided into three categories: prerenal, renal, and postrenal according to the location and cause of the disease, with different causes and pathogenesis.

The clinical symptoms of acute kidney injury are a short-term increase in serum creatinine and decreased urine output.

Because acute kidney injury is severe, active intervention and treatment are required.

Based on the anatomy of the kidneys, it can be divided into prerenal, postrenal, and renal causes.

Acute kidney injury caused by prerenal factors includes: reduced intravascular volume, reduced cardiac output, peripheral vasodilation, severe renal vasoconstriction, renal artery mechanical atresia, etc. Acute kidney injury related to renal parenchyma or renovascular disease includes renal vasculature

diseases, glomerulonephritis, interstitial nephritis, bacterial and viral infections, etc.; post-renal acute kidney injury includes extrarenal diseases or injuries, bladder diseases, urinary tract diseases, etc.

Different urinary tract abnormalities lead to obstructive nephropathy, a common cause of acute kidney injury.

Salted fish and steamed pork is a special delicacy in Zhejiang.

Hangzhou people store a bowl of salted fish, 鲞 and steamed pork in the refrigerator for several days, and eat a large bowl of rice at each meal.

Someone recently ate this dish and developed a bacterial infection that caused acute kidney injury.

Experts say it is entirely possible to cure viral acute kidney injury.

As long as through targeted active treatment and the cause of the disease is removed, the patient's renal function may recover relatively well.

At the same time, regular follow-up monitoring and review can also effectively prevent recurrence of the condition.

A man suffered from nausea, vomiting and anuria after eating salted fish and steamed meat, and was diagnosed with acute kidney injury. Case: Patient xxx, male, 46 years old, a native of Hangzhou.

I have been eating salted fish and steamed pork since I was a child. This is an indispensable dish on the dinner table.

If you want to eat delicious food, you have to steam some of it every day, so that life can be enjoyable.

The patient loves to eat very much. He steams a few bowls of them every now and then and puts them in the refrigerator and eats them as he likes.

This morning, the patient cooked a bowl of porridge, picked two pieces of salted fish and mixed them together to eat.

After dinner, I went out for a walk. I felt vaguely nauseated and nauseated, accompanied by bouts of stomach cramps. I ran to the toilet 12 times in a row in the afternoon and collapsed.

I thought I was suffering from heat stroke, so I drank several bottles of Huoxiang Zhengqi water to try to get over it.

After a night, the abdominal pain and diarrhea not only did not improve the next day, but became more serious. I even developed a high fever of 39.1, and then I stopped urinating.

Only then did he realize the seriousness of the matter and quickly went to the hospital for medical treatment.

The examination revealed that he was infected with Salmonella and had severe renal damage. He was admitted to the nephrology ward for treatment for 5 days and was discharged after recovery.

Patient xxx, female, lives in a certain district of Hangzhou and is a glutton for seafood.

I took advantage of the weekend to make a group purchase at a seafood buffet and ate to my heart's content.

Salmon, sweet shrimp, Arctic clams are all available.

In order to get back my money, I almost ate 8-9 plates.

Unexpectedly, after returning home, my stomach started to feel uncomfortable.

Thinking it was indigestion from eating too much, I drank some water and went to bed.

But for a while, I had to go to the toilet again and again, and I was exhausted mentally and physically from being tortured.

He simply sat on the toilet and fell asleep, not daring to move at all.

After staying at home all night, symptoms such as dizziness, weakness in limbs, and oliguria appeared the next day.

Go to a local hospital for medical treatment immediately.

The examination revealed that the patient was also infected with Salmonella and was accompanied by renal function damage. After emergency symptomatic treatment, he was transferred to the nephrology department for hospitalization.

Doctors say that recently, there has been an increase in the number of patients with bad stomachs due to their gluttony for seafood. Most of them suffer from infectious diarrhea caused by salmonella, and more cases of kidney function damage are caused by diarrhea and dehydration.

Salmonella is widely distributed in nature and is a common food-borne pathogenic bacteria that often lives in the digestive systems of humans and animals. Meat, eggs, milk, and related seafood products can be contaminated.

Moreover, Salmonella is also hidden. Because it does not decompose protein, food contaminated by it is difficult to detect with the naked eye or smell.

According to statistics, among various bacterial food poisonings, food poisoning caused by Salmonella often ranks first.

Nausea, vomiting, abdominal pain, diarrhea, fever, etc. may occur within 6 to 12 hours after being infected with Salmonella.

About 5% of infected people may develop complications in other tissues and organs, such as kidney function damage, and severe cases may even lead to death.

Young children, the elderly and others with weakened immune systems are more likely to develop serious consequences.

Once gastrointestinal reactions occur, seek medical attention as soon as possible. Regular treatment can prevent complications, especially kidney damage.

How to prevent and treat acute kidney injury?

1. High-risk groups should undergo regular physical examinations.

The elderly and patients with underlying renal diseases are all at high risk of acute kidney injury. Among them, patients with underlying renal diseases are more likely to develop acute kidney injury.

The most common basic diseases include: diabetes, hypertension, hyperuricemia, etc.

People with these underlying diseases should have their kidneys checked.

High-risk groups or ordinary citizens should have regular physical examinations, including urine routine.

If the urine routine is abnormal, a renal function test and a renal color ultrasound should be done.