摘要
急性肾损伤(acute kidney injury, AKI)是心脏手术后最常见的主要并发症之一。心脏手术后患儿的AKI发生率高达42%,而且AKI的发生与围手术期病死率相关。文章就先天性心脏病(先心病)患儿术后AKI的发生情况、发病机制、风险因素、预测及防治策略进行概述,并总结先心病患儿术后发生AKI的相关高风险因素及预防性策略应用的最新进展,以期指导临床合理地规避风险,谨慎选择干预策略。
Acute renal injury(AKI)is one of the most common complications after cardiac surgery.The incidence of AKI in children reaches up to 42%after cardiac surgery and the development of AKI is associated with perioperative mortality.This review focuses on the occurrence,pathogenesis,risk factors,prediction and prevention strategies of AKI in children with congenital heart disease after operation,and summarizes the latest progress about the high risk factors of AKI in children with congenital heart disease after operation and preventive strategies,so as to provide evidence for rational use and avoid risks.
作者
邵徽英
张马忠
郑吉建
Shao Huiying;Zhang Mazhong;Zheng Jijian(Department of Anesthesiology,Shanghai Children's Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China)
出处
《国际麻醉学与复苏杂志》
CAS
2021年第7期743-747,共5页
International Journal of Anesthesiology and Resuscitation
关键词
先天性心脏病
急性肾损伤
风险因素
预防
Congenital heart disease
Acute renal injury
Risk factor
Prevention
