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Nephrologie

  • Conference paper
Verhandlungen der Deutschen Gesellschaft für innere Medizin

Part of the book series: Verhandlungen der Deutschen Gesellschaft für innere Medizin ((VDGINNERE,volume 89))

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Zusammenfassung

Lebererkrankungen weisen in fortgeschrittenen Stadien eigentümliche funktionelle Nierenveränderungen ohne morphologisches Korrelat auf. Sie sind durch eine verminderte glomeruläre Filtrationsrate, Anstieg der harnpflichtigen Substanzen im Blut, gesteigerte Natriumreabsorption und Oligurie mit Ausscheidung eines konzentrierten Urins [7] gekennzeichnet. Wiederholt wurden als Erklärung hierfür intrarenale Durchblutungsstörungen verantwortlich gemacht [2, 9]. Welche vasoaktiven Wirkstoffe kausal beteiligt sind, ist umstritten. Messungen der Noradrenalinkonzentration im Nierenvenenblut spiegeln nach Tierversuchen [4, 6] den renalen Sympathikotonus wider. Mit ansteigender elektrischer Reizfrequenz stieg bei anästhesierten Hunden die Noradrenalinkonzentration im renalvenösen Blut linear an. Bei fortgeschrittenen chronischen Lebererkrankungen ist, mit neueren Methoden gemessen, nunmehr zweifelsfrei, daß die Noradrenalinkonzentration im systemischen Kreislauf erhöht ist [3, 10].

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Author information

Authors and Affiliations

  1. Med. Univ.-Klinik Würzburg, Deutschland

    W. Burghardt & H. Wernze

  2. Stoffwechselklinik der LVA Bad Mergentheim, Deutschland

    W. Tittor

  3. Urolog. Klinik, Klinikum Mannheim, Deutschland

    L. Knebel & J. Potempa

  4. Sektion Nephrologie, Med. Klinik Heidelberg, Deutschland

    W. Tschöpe & E. Ritz

  5. Sektion Nephrologie, Abt. I, Innere Medizin der Univ. Ulm, Deutschland

    K. B. G. Sprenger & H. E. Franz

  6. Sektion Analytik und Höchstreinigung der Univ. Ulm, Deutschland

    V. Krivan & H. Geiger

  7. Med. Univ.-Klinik Göttingen, Deutschland

    K. W. Rumpf, H. Kaiser & F. Scheler

  8. Abt. Neuropathologie, Univ. Göttingen, Deutschland

    H.-H. Goebel

  9. Abt. Klin. Chemie, Univ. Göttingen, Deutschland

    H. A. Wagner

  10. Robert-Koch-Krankenhaus Gehrden, Deutschland

    B. Ullmann

  11. Med. Univ.-Klinik Bonn, Deutschland

    D. Niese, K. Gilsdorf, R. E. Schmidt & H. J. Dengler

  12. Inst. für Rechtsmedizin, Univ. Bonn, Deutschland

    P. Dreßen

  13. Inst. für Anorganische Chemie, Univ. Bonn, Deutschland

    E. Hiester

  14. Abt. Gastroenterologie und Stoffwechsel, Abt. für Nephrologie, Med. Univ.-Klinik Göttingen, Deutschland

    P. Schauder, K. Schröder, D. Matthaei, H. V. Henning & U. Langenbeck

  15. Diabetes-Forschungsinst, Düsseldorf, Deutschland

    L. Herbertz

  16. Med. Klinik Essen, Deutschland

    H. Heidemann & W. Kirch

  17. Vanderbilt Univ., Nashville, USA

    J. Gerkens & R. Branch

  18. Abt. für Nephrologie, Deutschland

    P. Grützmacher

  19. Zentrallabor, Deutschland

    W. Siede

  20. Abt. für Nephrologie, Univ. Frankfurt, Deutschland

    B. Peschke, J. Riepenhausen, M. Buck & W. Schoeppe

  21. Med. Klinik A, Deutschland

    J. Passlick & A. Frank

  22. Med. Klinik E, Deutschland

    M. Berger

  23. Med. Klinik A der Univ. Düsseldorf, Deutschland

    B. Grabensee

  24. Nephrolog. Abt., Krankenhaus der Barmherzigen Brüder Trier, Deutschland

    W. Cremer & K. P. Krieger

  25. Abt. für Nieren- und Hochdruckkrankheiten, Med. Klinik und Poliklinik der Univ. Essen, Deutschland

    N. Graben

  26. Med. Univ.-Klinik Freiburg, Deutschland

    W. H. Boesken, G. Hörth, D. Maas & P. Schollmeyer

  27. Med. Univ.-Klinik Würzburg, Deutschland

    E. Heidbreder, J. Dorer, W. H. Hörl & A. Heidland

  28. I. Med. Univ.-Klinik Wien, Österreich

    H. Kopsa, P. Schmidt, J. Zazgornik, P. Balcke, E. Minar & E. Deutsch

  29. Zentrales Inst. für Radiodiagnostik, Univ. Wien, Österreich

    W. Czech

  30. Inst. für Klin. Strahlenkunde, Deutschland

    W. Quintes, F.-P. Kuhn & A. Geisler-Quintes

  31. I. Med. Klinik der Univ. Mainz, Deutschland

    M. Weber, E. Keidel & H. Köhler

  32. Abt. III, Med. Univ.-Klinik Tübingen, Deutschland

    U. Reinhard

  33. Ruhrlandklinik Essen-Heidhausen, Deutschland

    A. Mikulla

  34. Abt. für allgemeine Innere Medizin und Nephrologie, Klinikum Steglitz, FU Berlin, Deutschland

    A. Schwarz

  35. Abt. für Neurologie, Deutschland

    S. Seyfert

  36. Abt. für allgemeine Innere Medizin und Nephrologie, Deutschland

    F. Keller & M. Molzahn

  37. Abt. für Gastroenterologie, Deutschland

    H.-H. Neumayer & K. Wagner

  38. Inst. für Pathologie, Deutschland

    M. Gregor, H. Pickartz & E.-O. Riecken

  39. Inst. für Radiologie, Deutschland

    R. Sörensen

  40. Abt. für allgemeine Innere Medizin und Nephrologie, Klinikum Steglitz, FU Berlin, Deutschland

    M. Molzahn

  41. I. Med. Univ.-Klinik Wien, Deutschland

    H. Kopsa, P. Schmidt, J. Zazgornik, P. Balcke, E. Minar & L. Marosi

  42. Inst. für radiolog. physikal. Tumordiagnostik an der Röntgenstation, I. Med. Univ.-Klinik Wien, Deutschland

    D. Tscholakoff & H. Czembirek

  43. Abt. Innere Medizin II der TH Aachen, Deutschland

    H. Mann, N. Maurin, R. Ziegan & S. Stiller

  44. I. Med. Klinik und Poliklinik der Univ. Mainz, Deutschland

    H. Köhler, W. Arnold, G. Renschin, H. H. Dormeyer & K.-H. Meyer zum Büschenfelde

  45. Univ. Düsseldorf, Deutschland

    B. Grabensee & T. Königshausen

  46. Ferdinand-Sauerbruch-Krankenanstalten Wuppertal, Deutschland

    D. Hein

  47. Hoffmann-La Roche AG, Grenzach-Wyhlen, Deutschland

    J. Wanzlick

  48. Abt. IV, Med. Univ.-Klinik Freiburg, Deutschland

    P. Schollmeyer, H. B. Steinhauer & B. Günter

  49. Med. Univ.-Klinik Venusberg, Bonn, Deutschland

    H. U. Klehr, H. H. von Burgsdorff, H. J. Kaschell & H. G. Münch

  50. Nephrolog. Abt., Med. Klinik I, Deutschland

    L. A. Castro, G. Hillebrand & B. Schneider

  51. Transplantationszentrum, Deutschland

    W. Land

  52. Nephrolog. Abt., Med. Klinik I, Klinikum Großhadern der Univ. München, Deutschland

    H. J. Gurland

  53. Klinik A, Med. Klinik und Poliklinik, Univ. Düsseldorf, Deutschland

    B. Grabensee, R. E. Scharf, W. Grzibiela, B. Hartmann, E. Schnurr & W. Schneider

  54. Radiolog. Inst., Zentrum für Radiologie, Katharinenhospital, Stuttgart, Deutschland

    H. Trengut

  55. Dept. of Diagnostic Radiology, Deutschland

    U. Nyman & J. Hildell

  56. Dept. of Surgery, General Hospital Malmö, Deutschland

    B. Husberg

  57. Klinik für Innere Medizin, Deutschland

    E. Schulz, K. Sack & J. Herhahn

  58. Inst. für Med. Mikrobiologie, Deutschland

    R. H. Dennin

  59. Klinik für Chirurgie, Med. Hochschule Lübeck, Deutschland

    J. Hoyer

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  1. Kliniken der Landeshauptstadt Wiesbaden, Wiesbaden, D-6200, Deutschland

    Bernhard Schlegel

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© 1983 J. F. Bergmann Verlag, München

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Burghardt, W. et al. (1983). Nephrologie. In: Schlegel, B. (eds) Verhandlungen der Deutschen Gesellschaft für innere Medizin. Verhandlungen der Deutschen Gesellschaft für innere Medizin, vol 89. J.F. Bergmann-Verlag. https://doi.org/10.1007/978-3-642-85456-9_18

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  • DOI: https://doi.org/10.1007/978-3-642-85456-9_18

  • Publisher Name: J.F. Bergmann-Verlag

  • Print ISBN: 978-3-8070-0335-1

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