A vérvizelés okai gyermekkorban – a korszerű diagnosztika a kivizsgálás tükrében Article Swipe
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1556/650.2024.33073
A vérvizelés hátterében a betegségek széles spektruma állhat gyermekkorban, az egyszerű és gyorsan gyógyuló húgyúti fertőzésektől a gyorsan progrediáló súlyos glomerulonephritisig, mely a vesefunkció gyors romlásához vezet. A vérvizelés kivizsgálása során ezért elsődleges célunk az orvosi szempontból jelentős esetek elkülönítése. A vérvizeléshez társuló fehérjevizelés, a magas vérnyomás vagy a beszűkült vesefunkció progresszív vesebetegségre hívja fel a figyelmet. Amennyiben a vérvizelés makroszkópos, vagy az egyéb klinikai tünetek jellegzetesek, a differenciáldiagnózis gyakran könnyű és egyértelmű. Komplikáltabb esetekben azonban további noninvazív vizsgálómódszerek lehetnek szükségesek, mint az ultrahangvizsgálat, a vörösvértestek morfológiai vizsgálata, kalciumürítés, egyéb vizeletkémiai paraméterek, illetve a vesefunkció és a fehérjevizelés mértékének meghatározása. A családi anamnézis részletes felvétele a vérvizelés örökletes okainak elkülönítésében segít. Tünetmentes vérvizelés esetén központokként változhat a vesebiopszia elvégzésének indikációja. A glomerularis betegségek felismerésének arányát jelentősen befolyásolja, hogy mely kritériumok teljesülése esetén végzünk vesebiopsziát. Összefoglaló közleményünkben a vérvizelés diagnosztikájának kihívásait mutatjuk be. Részletezzük a vérvizelés definícióját, a glomerularis és postglomerularis vérvizelés elkülönítésének lépéseit, áttekintjük a hátterükben álló leggyakoribb betegségeket, melyek vagy gyakoriságuk, vagy gyors lefolyásuk és rossz prognózisuk miatt kihívást jelentenek mindennapi gyermeknefrológiai orvosi gyakorlatunk során. Orv Hetil. 2024; 165(28): 1067–1078.
Related Topics
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- hu
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W4400652709Canonical identifier for this work in OpenAlex
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https://doi.org/10.1556/650.2024.33073Digital Object Identifier
- Title
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A vérvizelés okai gyermekkorban – a korszerű diagnosztika a kivizsgálás tükrébenWork title
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reviewOpenAlex work type
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huPrimary language
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2024Year of publication
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2024-07-14Full publication date if available
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Orsolya Horváth, Attila J. Szabó, Ildikó Várkonyi, György ReuszList of authors in order
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https://doi.org/10.1556/650.2024.33073Publisher landing page
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://doi.org/10.1556/650.2024.33073Direct OA link when available
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Physics, Gynecology, MedicineTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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57Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| best_oa_location.raw_source_name | Orvosi Hetilap |
| best_oa_location.landing_page_url | https://doi.org/10.1556/650.2024.33073 |
| primary_location.id | doi:10.1556/650.2024.33073 |
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| primary_location.source.type | journal |
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| primary_location.source.is_core | False |
| primary_location.source.is_in_doaj | False |
| primary_location.source.display_name | Orvosi Hetilap |
| primary_location.source.host_organization | https://openalex.org/P4310320364 |
| primary_location.source.host_organization_name | Akadémiai Kiadó |
| primary_location.source.host_organization_lineage | https://openalex.org/P4310320364 |
| primary_location.license | cc-by |
| primary_location.pdf_url | |
| primary_location.version | publishedVersion |
| primary_location.raw_type | journal-article |
| primary_location.license_id | https://openalex.org/licenses/cc-by |
| primary_location.is_accepted | True |
| primary_location.is_published | True |
| primary_location.raw_source_name | Orvosi Hetilap |
| primary_location.landing_page_url | https://doi.org/10.1556/650.2024.33073 |
| publication_date | 2024-07-14 |
| publication_year | 2024 |
| referenced_works | https://openalex.org/W4306833925, https://openalex.org/W2399240278, https://openalex.org/W2507843107, https://openalex.org/W3044593324, https://openalex.org/W2109582312, https://openalex.org/W2087974949, https://openalex.org/W2256066558, https://openalex.org/W4392750244, https://openalex.org/W3131479136, https://openalex.org/W2724111894, https://openalex.org/W2886224390, https://openalex.org/W3005096722, https://openalex.org/W1969106021, https://openalex.org/W2036840217, https://openalex.org/W2049422801, https://openalex.org/W1979754756, https://openalex.org/W2030874634, https://openalex.org/W4307054430, https://openalex.org/W4307230702, https://openalex.org/W2993627162, https://openalex.org/W3200479416, https://openalex.org/W4391872525, https://openalex.org/W2026876074, https://openalex.org/W4290635524, https://openalex.org/W2942773165, https://openalex.org/W3007157191, https://openalex.org/W3050375183, https://openalex.org/W4390901465, https://openalex.org/W2101067234, https://openalex.org/W4387772933, https://openalex.org/W3038616498, https://openalex.org/W3201126689, https://openalex.org/W1980934602, https://openalex.org/W2902338636, https://openalex.org/W2132281207, https://openalex.org/W2259370272, https://openalex.org/W2913244551, https://openalex.org/W2272614727, https://openalex.org/W4391229439, https://openalex.org/W2344547278, https://openalex.org/W4327979083, https://openalex.org/W2142087910, https://openalex.org/W2128331580, https://openalex.org/W4245997481, https://openalex.org/W2032486197, https://openalex.org/W2084610830, https://openalex.org/W4391056060, https://openalex.org/W3200983081, https://openalex.org/W4389289244, https://openalex.org/W2056050093, https://openalex.org/W1982086197, https://openalex.org/W2906979279, https://openalex.org/W4386910457, https://openalex.org/W1993579948, https://openalex.org/W1994246932, https://openalex.org/W4224324155, https://openalex.org/W4206149008 |
| referenced_works_count | 57 |
| abstract_inverted_index.A | 0, 27, 40, 100, 120 |
| abstract_inverted_index.a | 3, 16, 22, 44, 48, 55, 58, 67, 84, 93, 96, 105, 116, 136, 143, 146, 154 |
| abstract_inverted_index.az | 9, 34, 62, 82 |
| abstract_inverted_index.Orv | 176 |
| abstract_inverted_index.be. | 141 |
| abstract_inverted_index.fel | 54 |
| abstract_inverted_index.és | 11, 71, 95, 148, 165 |
| abstract_inverted_index.hogy | 127 |
| abstract_inverted_index.mely | 21, 128 |
| abstract_inverted_index.mint | 81 |
| abstract_inverted_index.vagy | 47, 61, 160, 162 |
| abstract_inverted_index.2024; | 178 |
| abstract_inverted_index.gyors | 24, 163 |
| abstract_inverted_index.magas | 45 |
| abstract_inverted_index.miatt | 168 |
| abstract_inverted_index.rossz | 166 |
| abstract_inverted_index.Hetil. | 177 |
| abstract_inverted_index.egyéb | 63, 89 |
| abstract_inverted_index.esetek | 38 |
| abstract_inverted_index.ezért | 31 |
| abstract_inverted_index.hívja | 53 |
| abstract_inverted_index.melyek | 159 |
| abstract_inverted_index.orvosi | 35, 173 |
| abstract_inverted_index.során | 30 |
| abstract_inverted_index.vezet. | 26 |
| abstract_inverted_index.álló | 156 |
| abstract_inverted_index.azonban | 75 |
| abstract_inverted_index.célunk | 33 |
| abstract_inverted_index.esetén | 113, 131 |
| abstract_inverted_index.gyakran | 69 |
| abstract_inverted_index.gyorsan | 12, 17 |
| abstract_inverted_index.illetve | 92 |
| abstract_inverted_index.okainak | 108 |
| abstract_inverted_index.segít. | 110 |
| abstract_inverted_index.során. | 175 |
| abstract_inverted_index.széles | 5 |
| abstract_inverted_index.súlyos | 19 |
| abstract_inverted_index.állhat | 7 |
| abstract_inverted_index.165(28): | 179 |
| abstract_inverted_index.családi | 101 |
| abstract_inverted_index.klinikai | 64 |
| abstract_inverted_index.könnyű | 70 |
| abstract_inverted_index.lehetnek | 79 |
| abstract_inverted_index.mutatjuk | 140 |
| abstract_inverted_index.további | 76 |
| abstract_inverted_index.tünetek | 65 |
| abstract_inverted_index.arányát | 124 |
| abstract_inverted_index.egyszerű | 10 |
| abstract_inverted_index.esetekben | 74 |
| abstract_inverted_index.húgyúti | 14 |
| abstract_inverted_index.jelentős | 37 |
| abstract_inverted_index.spektruma | 6 |
| abstract_inverted_index.társuló | 42 |
| abstract_inverted_index.végzünk | 132 |
| abstract_inverted_index.Amennyiben | 57 |
| abstract_inverted_index.anamnézis | 102 |
| abstract_inverted_index.felvétele | 104 |
| abstract_inverted_index.figyelmet. | 56 |
| abstract_inverted_index.gyógyuló | 13 |
| abstract_inverted_index.jelentenek | 170 |
| abstract_inverted_index.kihívást | 169 |
| abstract_inverted_index.mindennapi | 171 |
| abstract_inverted_index.részletes | 103 |
| abstract_inverted_index.változhat | 115 |
| abstract_inverted_index.beszűkült | 49 |
| abstract_inverted_index.betegségek | 4, 122 |
| abstract_inverted_index.elsődleges | 32 |
| abstract_inverted_index.jelentősen | 125 |
| abstract_inverted_index.lefolyásuk | 164 |
| abstract_inverted_index.lépéseit, | 152 |
| abstract_inverted_index.noninvazív | 77 |
| abstract_inverted_index.vérnyomás | 46 |
| abstract_inverted_index.örökletes | 107 |
| abstract_inverted_index.1067–1078. | 180 |
| abstract_inverted_index.Tünetmentes | 111 |
| abstract_inverted_index.glomerularis | 121, 147 |
| abstract_inverted_index.gyakorlatunk | 174 |
| abstract_inverted_index.hátterében | 2 |
| abstract_inverted_index.kihívásait | 139 |
| abstract_inverted_index.kritériumok | 129 |
| abstract_inverted_index.leggyakoribb | 157 |
| abstract_inverted_index.morfológiai | 86 |
| abstract_inverted_index.prognózisuk | 167 |
| abstract_inverted_index.progresszív | 51 |
| abstract_inverted_index.romlásához | 25 |
| abstract_inverted_index.szempontból | 36 |
| abstract_inverted_index.vesebiopszia | 117 |
| abstract_inverted_index.vesefunkció | 23, 50, 94 |
| abstract_inverted_index.vizsgálata, | 87 |
| abstract_inverted_index.vérvizelés | 1, 28, 59, 106, 112, 137, 144, 150 |
| abstract_inverted_index.egyértelmű. | 72 |
| abstract_inverted_index.hátterükben | 155 |
| abstract_inverted_index.mértékének | 98 |
| abstract_inverted_index.paraméterek, | 91 |
| abstract_inverted_index.progrediáló | 18 |
| abstract_inverted_index.teljesülése | 130 |
| abstract_inverted_index.áttekintjük | 153 |
| abstract_inverted_index.Komplikáltabb | 73 |
| abstract_inverted_index.Részletezzük | 142 |
| abstract_inverted_index.befolyásolja, | 126 |
| abstract_inverted_index.betegségeket, | 158 |
| abstract_inverted_index.gyakoriságuk, | 161 |
| abstract_inverted_index.gyermekkorban, | 8 |
| abstract_inverted_index.indikációja. | 119 |
| abstract_inverted_index.jellegzetesek, | 66 |
| abstract_inverted_index.kivizsgálása | 29 |
| abstract_inverted_index.makroszkópos, | 60 |
| abstract_inverted_index.szükségesek, | 80 |
| abstract_inverted_index.vizeletkémiai | 90 |
| abstract_inverted_index.Összefoglaló | 134 |
| abstract_inverted_index.elvégzésének | 118 |
| abstract_inverted_index.központokként | 114 |
| abstract_inverted_index.vesebetegségre | 52 |
| abstract_inverted_index.vesebiopsziát. | 133 |
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| abstract_inverted_index.felismerésének | 123 |
| abstract_inverted_index.fertőzésektől | 15 |
| abstract_inverted_index.meghatározása. | 99 |
| abstract_inverted_index.postglomerularis | 149 |
| abstract_inverted_index.elkülönítése. | 39 |
| abstract_inverted_index.fehérjevizelés, | 43 |
| abstract_inverted_index.kalciumürítés, | 88 |
| abstract_inverted_index.vörösvértestek | 85 |
| abstract_inverted_index.közleményünkben | 135 |
| abstract_inverted_index.diagnosztikájának | 138 |
| abstract_inverted_index.gyermeknefrológiai | 172 |
| abstract_inverted_index.elkülönítésében | 109 |
| abstract_inverted_index.elkülönítésének | 151 |
| abstract_inverted_index.ultrahangvizsgálat, | 83 |
| abstract_inverted_index.vizsgálómódszerek | 78 |
| abstract_inverted_index.glomerulonephritisig, | 20 |
| abstract_inverted_index.differenciáldiagnózis | 68 |
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| institutions_distinct_count | 4 |
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| citation_normalized_percentile.is_in_top_10_percent | False |