【摘要】 目的探讨心脏移植术后并发急性肾功能衰竭(ARF)原因及防治。方法观察2004年4月～2006年10月14例行同种原位心脏移植手术患者(1例为心肾联合移植),其中有2例分别在术后第2,3天出现ARF,并行床旁持续性肾脏替代治疗(CRRT)3天和6天。结果2例病人均于术后28天,32天出院,随访13～20个月,肾功能良好,恢复正常工作。结论心脏移植术后出现急性肾功能衰竭(ART)与术前心功能状态、手术操作以及使用肾毒性药物等有关,及时有效处理,能提高心脏移植术后生存率。更多还原

【Abstract】 Objective To explore the cause and prevention of acute renal failure after Orthotopic Heart transplantation. Methods 10 cases of Orthotopic Heart transplantation in 2004.4~2005.10,in whom 2 cases with ARF in 2,3 days after operation and have CRRT treatment of 3,6 days. Results The 2 patients leave hospital in 28,32 days after operation,subsequently follow up in 13,20 months,the renal functions are well and come back to work. Conclusion The reasons of acute renal failure after orthotopic heart transplantation are related to heart function before operation and operation skill and the use of renal-toxic drug. Having effective process can improve the survival rate after Orthotopic Heart transplantation.更多还原