急性心肌梗死后急性肾损伤的早期预测进展  

Progress in early prediction of acute renal injury after acute myocardial infarction

作　　者：张炎丁 王圣[1] ZHANG Yan-ding;WANG Sheng(Department of Vasculocardiology,Hainan General Hospital,Hainan Afiliated Hospital of Hainan Medical University,Haikou 570311,China)

机构地区：[1]海南省人民医院海南医学院附属海南医院心血管内科,海南省海口市570311

出　　处：《中国心血管病研究》2022年第4期379-384,共6页Chinese Journal of Cardiovascular Research

摘　　要：急性肾损伤(acute kidney injury,AKI)是急性心肌梗死(acute myocardial infarction,AMI)的并发症之一,发病率高,预后不良。AKI的早期识别对AMI患者的预后及治疗方案的选择有重要意义,但目前尚无统一方案准确预测AKI的发生。通过炎症标志物、造影剂使用、肾损伤标志物及血流动力学改变等多种因素可对AKI的发生进行风险评估。尽早识别高危人群、干预危险因素、及时采取有效预防措施可减少AMI后AKI的发生。本文对急性心肌梗死后急性肾损伤的早期预测作一综述。Acute kidney injury(AKI) is one of the complications of acute myocardial infarction(AMI),characterized by high incidence and poor prognosis.The early identification of AKI is of great significance for the prognosis of AMI patients and the selection of treatment plans.However,there is no unified indexes for accurately predicting the occurrence of AKI.The risk of AKI can be assessed using inflammatory markers,contrast agents,kidney injury markers,and hemodynamic changes.Moreover,early identification of high-risk populations,the intervention of risk factors and timely effective preventive measures can reduce the occurrence of AKI after AMI.This paper reviews the early prediction of AKI secondary to AMI.

关 键 词：急性心肌梗死 急性肾损伤 造影剂 早期预测 

分 类 号：R542.22[医药卫生—心血管疾病]