摘要
目的:探讨深低温停循环手术对肾功能的影响,并对高危因素进行分析。方法:总结45例主动脉弓动脉瘤患者深低温停循环手术后发生肾功能衰竭的情况,与45例单纯体外循环手术患者进行比较,分析引起的原因及治疗效果。结果:45例主动脉弓动脉瘤患者,术后肾功能损害程度明显高于对照组,出现肾功能衰竭者12例,其中氮质血症期7例,尿毒症期5例。经过治疗,肾功能指标明显改善,其中40例康复出院,5例死亡,病死率11．1％。结论:降低主动脉弓动脉瘤患者术后肾功能衰竭发生率及病死率,主要在于对术前高危因素的重视及术中术后积极的防治措施。
Objective：To study the effect of deep hypothermia with circulatory arrest on renal failure. Methods：45 patients with aortic arch aneurysm operation（deep hypothermia with circulatory arrest ）, compared with 45 patients with cardiopulmonary bypass operation. Results：The time of circulatory arrest was a very important factor causing renal failure after aorticarch aneurysm operation. 12 patients had renal failure,5 deaths with a hospital mortality rate of 11.1%. Conclusion： To reduce the morbidity and mortality rate of postoperative renal failure,great attention needs to be paid both to the risk factors preoperation and proper treatment of postoperative.
出处
《中国临床医学》
北大核心
2006年第2期271-272,共2页
Chinese Journal of Clinical Medicine
关键词
深低温停循环
体外循环
肾功能衰竭
Deep hypothermia with circulatory arrest
Cardiopulmonary bypass
Renal failure
