StandfordA型主动脉夹层术后急性肾功能衰竭的救治分析

Treatment Analysis on Postoperative Acute Renal Failure of Stanford Type A Aortic Dissection

目的总结Standford A型主动脉夹层术后急性肾功能衰竭患者行连续肾脏替代治疗(CRRT)的处理经验。方法本组5例Standford A型主动脉夹层术后合并急性肾功能衰竭患者采用连续肾脏替代治疗,回顾性分析临床资料及救治方案。结果 5例急性肾功能衰竭患者CRRT治疗后生命体征逐渐平稳,肾功能逐渐恢复,顺利度过危险期。结论连续肾脏替代治疗对Standford A型主动脉夹层术后急性肾功能衰竭患者是安全有效的,提高了患者的生存率。

Objective Summarize the treatment experience of continuous renal replacement therapy （CRRT） for the patients with postoperative acute renal failure of Stanford type A aortic dissection. Method In this group, adopt the continuous renal replacement therapy to treat 5 patients with the postoperative acute renal failure of Stanford type A aortic dissection and carry out the retrospective analysis on the clinical data and treatment solutions. Result 5 patients with acute renal failure gradually stabilize in vital signs after the CRRT, regain renal function gradually, and successfully live through the critical stage. Conclusion The CRRT is safe and effective for patients who suffer from postoperative acute renal failure of Stanford type A aortic dissection, which can improve the survival rate of patients.