【摘要】 急性肾损伤(acute kidney injury,AKI)是先天性心脏病术后常见且严重的并发症,其增加患儿术后死亡率,延长患儿术后机械通气时间和住院时间,是先心术后患儿不良预后的独立危险因素。液体管理是先心术后并发急性肾损伤治疗的关键,一方面患儿术后需要大量液体输注保证心输出量、各重要脏器的灌注,另一方面输液过多会加重AKI的发展,且目前尚缺乏十分有效的指标来评价患儿容量。本文将对儿童先心术后并发急性肾损伤液体管理目前研究的进展进行综述。更多还原

【Abstract】 Acute kidney injury(AKI) is a common and serious complication after congenital heart disease surgery. It increases the postoperative mortality rate and prolongs the postoperative duration of mechanical ventilation and hospitalization of children. It is an independent risk factor of poor prognosis of postoperative children with congenital heart disease. Fluid management is the key to the treatment of AKI after congenital heart surgery. On the one hand, children need a large amount of liquid infusion to ensure the cardiac output and perfusion of important organs after operation.On the other hand, excessive infusion may aggravate the development of AKI. At present, there is still a lack of effective indicators to evaluate the capacity of children. This article reviews the progress of current research on fluid management of postoperative congenital heart disease complicated by AKI.更多还原