ACM  >> Vol. 4 No. 4 (December 2014)

    Progress in the Diagnosis and Treatment of Acute Renal Failure after Cardiac Operation

  • 全文下载: PDF(343KB) HTML    PP.69-73   DOI: 10.12677/ACM.2014.44013  
  • 下载量: 2,042  浏览量: 7,518   科研立项经费支持


何苗苗,周 竹,孔露娇,普俊波,普冬梅,胡克金,蒋文艳:昆明医科大学第一附属医院肾脏内科,昆明

急性肾损伤心脏外科手术Acute Renal Failure Cardiac Operation


急性肾损伤(AKI, acute kidney injury)是心脏外科手术常见的严重的并发症之一,AKI的早期诊断及早期干预,对于减少其死亡率有重要意义。但AKI的诊断目前没有统一的标准,本文根据RIFLE与AKIN对急性肾损伤进行诊断,并对目前心脏手术后AKI的一系列诊断和处理措施相关的临床研究及进展进行综述。

Acute kidney injury (AKI) is one of the severe complications of common cardiac surgical operation. It is important to reduce the mortality as earlier as possible to diagnose and intervent AKI. However, the diagnosis of AKI has no unified standard. The review is related to the current research and development of a series of clinical diagnosis and treatment of AKI after heart operations according to the standards of RIFLE diagnosis and AKIN (acute kidney injury network) on acute renal injury.

何苗苗, 周竹, 孔露娇, 普俊波, 普冬梅, 胡克金, 蒋文艳. 心脏外科手术后急性损伤诊治的进展[J]. 临床医学进展, 2014, 4(4): 69-73.


[1] Dasta, J.F., Kane-Gill, S.T., Durtsehi, A.J., et al. (2008) Costs and outcomes of acute kidney injury (AKI) following cardiac surgery. Nephrology, Dialysis, Transplantation, 23, 1970-1974.
[2] Hoste, E.A., Cruz, D.N., Davenport, A., et al. (2008) The epidemiology of cardiac surgery-associated with acute kidney injury. The International Journal of Artificial Organs, 31, 158-165.
[3] 凌光辉, 曾妮, 刘家军, 等 (2009) 5100例体外循环心脏手术后急性肾损伤的围手术期危险因素分析. 中南大学学报: 医学版, 9, 861-866.
[4] 衡艳艳, 方艺, 钟一红, 等 (2011) 1113例心脏瓣膜置换手术后急性肾损伤的临床分析. 中华肾脏病杂志, 3, 181- 185.
[5] 贾士杰, 宋铁鹰, 贾明 (2011) 心脏手术后急性肾损伤. 心肺血管杂志, 2, 168-171.
[6] Vaidya, V.S., Waikar, S.S., Ferguson, M.A., et al. (2008) Urinary biomarkers for sensitive and specific detection of acute kidney injury in human. Clinical and Translational Science, 1, 200-208.
[7] Matsui, K., Kamijo-Ikemori, A. and Sugaya, T. (2012) Usefulness of urinary biomarkers in early detection of acute kidney injury after cardiac surgery in adults. Circulation, 76, 213-220.
[8] 李霞, 彭玲, 魏蔚 (2013) 应用组织多普勒应变率技术评价米力农、多巴胺对心脏瓣膜手术患者左心室功能的作用. 中国胸心血管外科临床杂志, 1, 342-346.
[9] Axelsson, B., Arbeus, M., Magnuson, A. and Hultman, J. (2010) Milrinone improves diastolic function in coronary artery bypass surgery as assessed by acoustic quantification and peak filling rate: A prospective randomized study. Journal of Cardiothoracic and Vascular Anesthesia, 24, 244-249.
[10] Brown, J.R., Kramer, R.S., MacKenzie, T.A., et al. (2012) Determinants of acute kidney injury duration after cardiac surgery: An externally validated tool. Annals of Thoracic Surgery, 93, 570-576.