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Nierenkrankheiten

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Neugeborenenintensivpflege

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Zusammenfassung

In der Neonatalperiode ist die Nierenfunktion im Vergleich zu älteren Kindern und Erwachsenen noch eingeschränkt (Tabelle 13–1). Bedingt durch einen hohen renalen Gefäßwiderstand sind während der Fetalzeit der renale Blutfluß und damit die glomeruläre Filtrationsrate (GFR) niedrig. Nach der Geburt sinkt der renale Gefäßwiderstand, renaler Blutfluß und GFR steigen in den ersten Lebensmonaten kontinuierlich an. Erwachsenenwerte werden mit etwa 18 Monaten erreicht. Da Kreatinin im Tubulus weder resorbiert noch sezerniert wird, stellt die Kreatininclearance ein Maß für die GFR dar (Tabelle 13–2).

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Authors
  1. R. F. Maier
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Editors and Affiliations

  1. Klinik für Kinderkardiologie, Charité Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Deutschland

    Georg Bein (ehem. Direktor) (ehem. Direktor)

  2. Klinik für Neonatologie, Charité Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Deutschland

    Rolf F. Maier (leitender Oberarzt) (leitender Oberarzt)

  3. Abteilung für Kinderchirurgie, Universitätsklinikum Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland

    Jürgen Waldschmidt (ehem. Leiter) (ehem. Leiter)

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© 2002 Springer-Verlag Berlin Heidelberg

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Maier, R.F. (2002). Nierenkrankheiten. In: Bein, G., Maier, R.F., Waldschmidt, J. (eds) Neugeborenenintensivpflege. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-08937-8_13

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  • DOI: https://doi.org/10.1007/978-3-662-08937-8_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-41360-8

  • Online ISBN: 978-3-662-08937-8

  • eBook Packages: Springer Book Archive

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