心脏术后发生急性肾损伤的预后危险因素及防治(PDF)
《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]
- 期数:
- 2017年第4期
- 页码:
- 491-495
- 栏目:
- 综述
- 出版日期:
- 2017-02-25
文章信息/Info
- Title:
- Prognostic risk factors and treatment in patients with acute kidney injury after cardiac surgery
- Author(s):
- LI Qiao-neng; NING Xiao-xuan
- Department of Geriatrics, Xijing Hospital, Fourth Military Medical University, Xi’an 710032, Shaanxi, China
- 分类号:
- R692
- DOI:
- -
- 文献标识码:
- A
- 摘要:
- 急性肾损伤（AKI）是心脏术后的严重并发症，是患者病死率增加的独立预后危险因素。本文将其发病率和病死率、发病机制、危险因素、预防及治疗做一综述。
- Abstract:
- Acute kidney injury is a serious complication after cardiac surgery and it is an independent prognostic risk factor for increased mortality in patients. This article reviews its morbidity and mortality, mechanism, risk factors, prevention and treatment.
参考文献/References
[1]Bahar I,Akgul A,Ozatik MA,et al.Acute renal failure fallowing open heart surgery：risk factors prognosis[J].Perfusion,2005,20(6):317-322.
[2]Doddakula K,Al-Sarraf N,Gately K,et al.Predictors of acute renal failure requiring renal replacement therapy post cardiac surgery in patients with preoperatively normal renal function[J].Interact Cardiovasc Thorac Surg,2007,6(3):314-318.
[3]刘胜中,丛 伟,曾富春,等.体外循环心脏术后急性肾衰竭的高危因素分析及救治体会[J].四川医学,2009,30(9):1403-1406.
[4]Rahmanian PB,Kr?ner A,Langebartels G,et al.Impact of major on-cardiac complications on outcome following cardiac surgery procedures: logistic regression analysis in a very recent patient cohort[J].Interact CardioVasc Thorac Surg,2013,17(2):319-327.
[5]Ivert T,Holzmann MJ,Sartipy U.Survival in patients with acute kidney injury requiring dialysis after coronary artery bypass grafting[J].Eur J Cardiothorac Surg,2014,45(2):312-317.
[6]Chertow GM,Levy EM,Hammermeister KE,et al.Independent association between acute renal failure and mortality following cardiac surgery[J].Am J Med,1998,104(4):343-348.
[7]Dasta JF,Kane-Gill SL,Durtschi AJ,et al.Costs and outcomes of acute kidney injury(AKI)following cardiac surgery[J].Nephrol Dial Transplant,2008,23(6):1970-1974.
[8]Perez-Valdivieso JR,Monedero P,Vives M,et al.Cardiac-surgery associated acute kidney injury requiring renal replacement therapy.A Spanish retrospective case-cohort study[J].BMC Nephrol,2009,10(9):1-10.
[9]Hobson CE,Yavas S,Segal MS,et al.Acute kidney injury is associated with increased long-term mortality after cardiothoracic surgery[J].Circulation,2009,119(18):2444-2453.
[10]Bagshaw SM,Mortis G,Godinez-Luna T,et al.Renal recovery after severe acute renal failure[J].Int J Artif Organs,2006,29(11):1023-1030.
[11]Swaminathan M,Hudson CC,Phillips-Bute BG,et al.Impact of early renal recovery on survival after cardiac surgery associated acute kidney injury[J].Ann Thorac Surg,2010,89(4):1098-1104.
[12]Brown JR,Kramer RS,Coca SG,et al.Duration of acute kidney injury impacts long-term survival after cardiac surgery[J].Ann Thorac Surg,2010,90(4):1142-1148.
[13]Pistolesi V,Di Napoli A,Fiaccadori E,et al.Severe acute kidney injury following cardiac surgery:short-term outcomes in patients undergoing continuous renal replacement therapy(CRRT)[J].J Nephrol,2016,29(2):229-239.
[14]Haanschoten MC,van Straten AH,Bouwman A,et al.The Impact of Postoperative Renal Replacement Therapy on Long-Term Outcome After Cardiac Surgery Increases with Age[J].J Card Surg,2014,29(4):464-469.
[15]Rahmanian PB,Kwiecien G,Langebartels G,et al.Logistic risk model predicting postoperative renal failure requiring dialysis in cardiac surgery patients[J].Eur J Cardiothorac Surg,2011,40(3):701-707.
[16]Hoste EA,De Waele JJ.Physiologic consequences of acute renal failure on the critically ill[J].Crit Care Clin,2005,21(2):251-260.
[17]Thakar CV,Yared JP,Worley S,et al.Renal dysfunction and serious infections after open-heart surgery[J].Kidney Int,2003,64(1):239-246.
[18]Lagercrantz E,Lindblom D,Sartipy U.Survival and quality of life in cardiac surgery patients with prolonged intensive care[J].Ann Thorac Surg,2010,89(2):490-495.
[19]Mangano CM,Diamondstone LS,Ramsay JG,et al.Renal dysfunction after myocardial revascularization:Risk factors,adverse outcomes,and hospital resource utilization.The Multicenter Study of Perioperative Ischemia Research Group[J].Ann Intern Med,1998,128(3):194-203.
[20]Filsoufi F,Rahmanian PB,Castillo JG,et al.Predictors and early and late outcomes of dialysis-dependent patients in contemporary cardiac surgery[J].J Cardiothorac Vasc Anesth, 2008,22(4):522-529.
[21]Gaudino M,Girola F,Piscitelli M,et al.Long-term survival and quality of life of patients with prolonged postoperative intensive care unit stay:Unmasking an apparent success[J].J Thorac Cardiovasc Surg,2007,134(2):465-469.
[22]Uchino S,Kellum JA,Bellomo R,et al.Acute renal failure in critically ill patients:A multinational,multicenter study[J].JAMA,2005,294(7):813-818.
[23]Hu Y,Li Z,Chen J,et al.The effect of the time interval between coronary angiography and on-pump cardiac surgery on risk of postoperative acute kidney injury: a meta-analysis[J].J Cardiothorac Surg,2013,8(1):178.
[24]Garcia S,Ko B,Adabag S.Contrast-induced nephropathy and risk of acute kidney injury and mortality after cardiac operations[J].Ann Thorac Surg,2012,94(3):772-776.
[25]Kramer RS,Quinn RD,Groom RC,et al.Same admission cardiac catheterization and cardiac surgery:Is there an increased incidence of acute kidney injury?[J].Ann Thorac Surg,2010,90(5):1418-1423.
[26]Paparella D,Guida P,Mazzei V,et al.Hemoglobin and renal replacement therapy after cardiopulmonary bypass surgery:a predictive score from the Cardiac Surgery Registry of Puglia[J].nt J Cardiol,2014,176(3):866-873.
[27]Karkouti K. Transfusion and risk of acute kidney injury in cardiac surgery[J].Br J Anaesth,2012,109(Suppl 1):i29-i38.
[28]Bellomo R,Auriemma S,Fabbri A,et al.The pathophysiology of cardiac surgery-associated acute kidney injury(CSA-AKI)[J].Int J Artif Organs,2008,31(2):166-178.
[29]Aregger F,Wenaweser P,Hellige GJ,et al.Risk of acute kidney injury in patients with severe aortic valve stenosis undergoing transcatheter valve replacement[J].Nephrol Dial Transplant,2009,24(2):2175-2179.
[30]Bagur R,Webb JG,Nietlispach F,et al.Acute kidney injury following transcatheter aortic valve implantation:predictive factors, prognostic value,and comparison with surgical aortic valve replacement[J].Eur Heart J,2010,31(7):865-874.
[31]Song YR,Lee T,You SJ,et al.Prevention of acute kidney injury by erythropoietin in patients undergoing coronary artery bypass grafting:a pilot study[J].Am J Nephrol,2009,30(3):253-260.
[32]Yoo YC,Shim JK,Kim JC,et al.Effect of single recombinant human erythropoietin injection on transfusion requirements in preoperatively anemic patients undergoing valvular heart surgery[J].Anesthesiology,2011,115(5):929-937.
[33]Muralidhar K,Bhagyashri K,Guptha R,et al.Determinants of renal replacement therapy after adult cardiac surgery[J].Asian Cardiovasc Thorac Ann,2013,21(5):533-538.
[34]Kowalik MM,Lango R,Klajbor K,et al.Incidence-and mortality-related risk factors of acute kidney injury requiring hemofiltration treatment in patients undergoing cardiac surgery:a single-center 6-year experience[J].J Cardiothorac Vasc Anesth,2011,25(4):619-624.
[35]Ding WJ,Liu H,Ji Q,et al.Risk factors for failure of continuous veno-venous hemodialysis in the treatment of acute renal failure following cardiac surgery[J].Zhonghua Yi Xue Za Zhi,2013,93(22):1737-1739.
[36]Rodrigues AJ,Evora PR,Bassetto S,et al.Risk factors for acute renal failure after heart surgery[J].Rev Bras Cir Cardiovasc,2009,24(4):441-446.
[37]Thakar CV,Arrigain S,Worley S,et al.A clinical score to predict acute renal failure after cardiac surgery[J].J Am Soc Nephrol,2005,16(1):162-168.
[38]Van Den Noortgate N,Mouton V,Lamot C,et al.Outcome in a post-cardiac surgery population with acute renal failure requiring dialysis:does age make a difference? [J].Nephrol Dial Transplant,2003,18(4):732-736.
[39]Thongprayoon C,Cheungpasitporn W,Shah IK,et al.Long-term Outcomes and Prognostic Factors for Patients Requiring Renal Replacement Therapy After Cardiac Surgery[J].Mayo Clin Proc,2015,90(7):857-864.
[40]Lim CC,Tan CS,Chia CM,et al.Long-Term Risk of Progressive Chronic Kidney Disease in Patients with Severe Acute Kidney Injury Requiring Dialysis after Coronary Artery Bypass Surgery[J]. Cardiorenal Med,2015,5(3):157-163.
[41]Ronco C.Recent evolution of renal replacement therapy in the critically ill patient[J].Crit Care,2006,10(1):123.
[42]Ji Q,Mei Y,Wang X,et al.Timing of continuous veno-venous hemodialysis in the treatment of acute renal failure following cardiac surgery[J].Heart Vessels,2011,26(2):183-189.
[43]Cap rioli R,Favilla G, Palmarini D,et al.Automatic continuous veno-venous hemodiafihration in cardiosurgical patients[J].Circulation,2004,109(23):294-295.
[44]吕丽格,李兰风,刘建华,等.连续性血液净化治疗急性肾功能衰竭15例护理体会[J].河北医药,2009,31(16):2183.
[45]Palevsky PM,Zhang JH,O’Connor TZ,et al.Intensity of renal support in critically ill patients with acute kidney injury[J].N Eng J Med,2008,359(1):7-20.
[46]Bellomo R,Cass A,Cole L,et al.Intensity of continuous renal-replacement therapy in critically ill patients[J].N Engl J Med,2009,361(17):1627-1638.
[47]Karvellas CJ,Farhat MR,Sajjad I,et al.A comparison of early versus late initiation of renal replacement therapy in critically ill patients with acute kidney injury:A systematic review and meta-analysis[J].Crit Care,2011,15(1):R72.
[48]温海洋,陈 亮,卜会驹,等.两种不同抗凝方法在连续性静脉静脉血液透析滤过中应用的对比研究[J].临床和实验医学,2009,8(5):25-27.
备注/Memo
- 备注/Memo:
- 收稿日期：2016-11-16.通讯作者：宁晓暄，副主任医师，主要从事老年疾病研究 Email：1521189958@qq.com 作者简介：李乔能，主治医师， 硕士 Emial：1132764755@qq.com
常用功能
统计/Statistics
- 摘要浏览/Viewed744
- 全文下载/Downloads723
- 评论/Comments
