心脏外科手术后急性损伤诊治的进展

Progress in the Diagnosis and Treatment of Acute Renal Failure after Cardiac Operation

急性肾损伤(AKI, acute kidney injury)是心脏外科手术常见的严重的并发症之一,AKI的早期诊断及早期干预,对于减少其死亡率有重要意义。但AKI的诊断目前没有统一的标准,本文根据RIFLE与AKIN对急性肾损伤进行诊断,并对目前心脏手术后AKI的一系列诊断和处理措施相关的临床研究及进展进行综述。

Acute kidney injury (AKI) is one of the severe complications of common cardiac surgical operation. It is important to reduce the mortality as earlier as possible to diagnose and intervent AKI. However, the diagnosis of AKI has no unified standard. The review is related to the current research and development of a series of clinical diagnosis and treatment of AKI after heart operations according to the standards of RIFLE diagnosis and AKIN (acute kidney injury network) on acute renal injury.