老年患者腹部手术后急性肾损伤的临床研究进展

Clinical research progress of acute kidney injury after abdominal surgery in elderly patients

中国严峻的老龄化形势,使老年患者住院及接受手术的比例逐年上调。老年患者的生理情况、基础疾病及腹部手术是术后急性肾损伤发病率及病死率高的主要危险因素,尽早诊断和干预治疗对预防老年患者腹部手术后急性肾损伤及降低社会、家庭医疗开支有着长远的意义。该文就如何降低老年患者腹部手术后急性肾损伤发病率、如何早期诊断急性肾损伤作一阐述。

The increasing aging population in China poses a challenge to the society that the proportion of elderly patients being hospitalized and undergoing surgery is on the rise year by year.The physiologic condition of the patients,underlying diseases and the abdominal operation are the main risk factors for the high incidence of postoperative acute kidney injury and the high mortality due to postoperative acute kidney injury in the elderly.Early diagnosis and intervention may reap long-term benefits in preventing acute kidney injury after abdominal surgery in elderly patients and alleviating the burden of health care costs on the family of the patients and the society.This paper expounds how to reduce the incidence of acute kidney injury after abdominal surgery in elderly patients and how to achieve the early diagnosis of acute kidney injury.