围手术期肾功能障碍常见原因和处理原则  

Perioperative acute kidney injury:Common causes and management

作　　者：胡振杰[1] 刘丽霞[1] 

机构地区：[1]河北医科大学附属第四医院ICU,河北石家庄050011

出　　处：《中国实用外科杂志》2014年第2期129-133,共5页Chinese Journal of Practical Surgery

摘　　要：围手术期急性肾损伤(acute kidney injury,AKI)是外科手术病人最常见的严重并发症之一,是这些病人不良预后的独立危险因素。应用高危因素分层的方法,早期准确识别高危因素病人,采取积极合理有效的预防手段,在围手术期,尤其是术中、术后采取以目标导向为基础的血流动力学优化策略,是降低AKI发生率、病死率,改善预后的有效方法。Acute kidney injury （AKI） is one of the most serious complications during perioperative period, which is strongly and independently associated with poor prognosis. Early and accurate identification of high-risk patients using risk stratification, taking reasonable and efficient measures, such as prophylactic measures and hemodynamic optimization strategy, may be a better way to decrease the morbidity and mortality and to improve the prognosis.

关 键 词：围手术期 急性肾损伤 非心血管手术 心血管手术 

分 类 号：R6[医药卫生—外科学]