胃肠外科手术后急性肾损伤的防治  

The Prevention and Therapy of Postoperative Acute Kidney Injury after Gastrointestinal Surgery

作　　者：毕丹青[1] 毕丹艳[2] 翁敏 唐铖 付秋鸿 胡明芬 钟鸣[6] 

机构地区：[1]昆明医科大学第一附属医院肾内科,云南昆明650031 [2]云南省第一人民医院风湿免疫科,云南昆明650032 [3]广南县人民医院,云南广南663300 [4]江川县人民医院,云南江川652600 [5]昆明市传染病医院,云南昆明650041 [6]云南省第一人民医院普外一科,云南昆明650032

出　　处：《昆明医科大学学报》2014年第2期112-114,共3页Journal of Kunming Medical University

摘　　要：目的探讨胃肠外科手术后急性肾损伤(acute kidney injury,AKI)的预防与治疗.方法对昆明医科大学第一附属医院及云南省第一人民医院胃肠外科近2 a收治的手术患者进行回顾性分析.结果胃肠外科手术后AKI发病率为2.1%,老年组且合并基础疾病者预后较非老年组差(P<0.05).结论胃肠外科手术后患者早期补液、利尿、加强抗感染、预防性血液透析能达到早期预防AKI和治疗目的.Objective To explore the prevention and treatment of acute kidney injury （AKI） after gastrointestinal surgical procedures.Method We retrospectively analyzed the data of patients underwent gastrointestinal surgery in recent 2 years in the First Affiliated Hospital of Kunming Medical University and the First People＇ Hospital of Yunnan Province. Result The incidence of AK1 was 2.1%. Elderly patients with basic diseases had poorer prognosis than non-elderly patients. Conclusion In the patients after gastrointestinal Surgery, early rehydration, diuresis, ant-infection and preventive hemodialysis can achieve the goal of prevention and treatment of acute kidney injury in early stage.

关 键 词：胃肠外科手术 急性肾损伤 防治 

分 类 号：R692.5[医药卫生—泌尿科学]