CRRT治疗46例心脏直视手术后急性肾损伤的临床分析

Clinical analysis of 46 cases of acute kidney injury after open heart surgery with CRRT

目的：探讨连续性肾脏替代疗法（CRRT）在开胸心脏直视手术后急性肾损伤（AKI）救治中的应用价值。方法：总结2010年1月1日至2015年7月1日苏州大学附属第一医院心脏大血管外科实施的开胸心脏直视手术后46例AKI患者行CRRT治疗的病例,对CRRT治疗进行评价。结果：35例开胸心脏直视手术术后AKI患者经过CRRT1周~45 d不等的治疗,病情好转,内环境稳定,肾功能明显恢复,5例死亡,6例放弃治疗。结论：CRRT是开胸心脏直视手术后发生AKI的有效治疗手段。

Objective： To investigate the value of continuous renal replacement therapy（ CRRT） in the treatment of acute kidney injury（ AKI） after open heart surgery. Methods： 46 cases of AKI patients after open heart surgery in the First Affiliated Hospital of Soochow University from January 1,2010 to July 1,2015 were treated by CRRT,and the effect of CRRT was evaluated. Results： 35 cases of AKI after open heart surgery were treated by 1 week-45 days CRRT,whose conditions improved,the internal environments were stable,renal functions were significantly restored,5 cases died,6 cases gave up treatment. Conclusions： CRRT is an effective method for AKI after open heart surgery.