心脏术后急性肾损伤的早期诊断及无创肾血流和氧代谢监测的预测作用

Early diagnosis of acute kidney injury after cardiac surgery and prediction of noninvasive renal blood flow and oxygen metabolism monitoring

心脏术后急性肾损伤(CSA-AKI)是心脏手术后最常见的并发症,通过监测早期诊断并及时干预,对减少发病率及改善患者预后具有重要意义。本文主要对CSA-AKI的诊断标准、肾损伤新型生物标志物和无创肾血流及氧代谢监测对CSA-AKI早期诊断的应用价值进行综述,为临床早期预测并诊断CSA-AKI提供依据,从而进行有效干预,改善心脏手术患者预后。

Acute kidney injury after cardiac surgery(CSA-AKI)is the most common complication after cardiac surgery.Monitoring,early diagnosis of CSA-AKI and timely intervention are of the great significance to reduce the incidence of CSA-AKI and improve the prognosis of patients.This article mainly reviews the diagnostic criteria of CSA-AKI,new biomarkers of renal injury and the application value of non-invasive renal blood flow and oxygen metabolism monitoring in the early diagnosis of CSA-AKI,in order to provide a basis for early clinical prediction and diagnosis of CSA-AKI through the understanding of early diagnosis and related non-invasive monitoring of CSA-AKI,so as to carry out effective intervention and improve the prognosis of patients undergoing cardiac surgery.