摘要目的 探讨连续性肾脏替治疗(CRRT)在心脏直视手术术后急性肾损伤(AKI)救治中的应用价值.方法 选取青岛阜外心血管病院2006～2009年成人心脏直视外科手术病例780例,其中并发AKI患者14例,其中需要血液净化治疗者5例,观察CRRT治疗前后肾功能等指标的改变.结果 心脏直视术后急性肾损伤发生率为1.7%,需要血液净化的发生率为0.5%,经CRRT治疗,患者内环境明显改善,4例肾功能完全恢复,1例死于多器官功能障碍.结论 CRRT是心脏直视手术后发生AKI的有效治疗手段.

abstractsObjective To assess the application of continuous renal replacement therapy for patients with acute kidney injury following cardiac operation. Methods During a period from 2006 to 2009,780 patients who underwent cardiac surgery and developed AKI were identified prospectively, of whom 14 patients developed AKI and 5 cases needed CRRT. Results The incidence of AKI developing postoperatively was 1.7% and the rate necessitating CRRT was 0. 5%. All patients showed significantly improved in internal environment and renal function. 1 patients died from MORD and 4 patients recovered. Conclusion CRRT is an effective technique for curing AKI following cardiac operation.