心脏术后急性肾损伤早期启动连续肾脏替代治疗时机的研究进展  

Progress on the Timing of Early Initiation of Continuous Renal Replacement Therapy for Acute Kidney Injury after Cardiac Surgery

作　　者：魏岁姣 焦晶 张鹏[2] 

机构地区：[1]西安医学院,陕西 西安 [2]第四军医大学西京医院肾脏内科,陕西 西安

出　　处：《临床医学进展》2022年第10期9125-9131,共7页Advances in Clinical Medicine

摘　　要：急性肾损伤(acute kidney injury, AKI)是心脏术后常见并发症之一,不仅增加重症监护室(intensive care unit, ICU)住院时间以及医疗费用,而且增加了术后患者的死亡率。连续肾脏替代治疗(continuous renal replacement therapy, CRRT)是ICU中肾脏替代治疗(renal replacement therapy, RRT)的主要形式,CRRT具有精确容量控制、稳定酸碱平衡、纠正电解质紊乱、血流动力学稳定等优点。对于AKI伴有危及生命并发症的患者启动CRRT的决定相对简单,然而在没有明确紧急适应症的情况下,开始CRRT的最佳时机仍存在争议。Acute kidney injury (AKI) is one of the common complications after cardiac surgery, which not only increases the length of stay in intensive care unit (ICU) and medical costs, but also increases the mortality of patients after surgery. Continuous renal replacement therapy (CRRT) is the main form of renal replacement therapy (RRT) in ICU. CRRT has the advantages of accurate volume control, stable acid-base balance, correction of electrolyte disorders, and hemodynamic stability. The deci-sion to initiate CRRT in patients with AKI with life-threatening complications is relatively straight-forward;however, the optimal timing for initiating CRRT in the absence of clear emergency indica-tions remains controversial.

关 键 词：心脏手术 急性肾损伤 连续肾脏替代治疗 

分 类 号：R692[医药卫生—泌尿科学]