Perioperative treatment for cardiac surgical patients with severe renal insuffi-ciency
Qiu Bing-mei
Sun Lei
Zhang Xiao-hua
Wang Chang-tian
Xu Biao
Zhang Lei
Wu Hai-wei
Li De-min
Abstract：[ Abstract]:Objective Perioperative treatment for cardiac surgical patients with severe renal insufficiency. Methods 25 pa?tients with severe renal insufficiency wereadmitted for heart surgery in General Hospital of Nanjing Military Region from June 2014 to September 2015. Continous renal replacement therapy( CRRT) was performed in all patients. Results Two patients died postoperative?ly. HR, CVP, creatinine and BUN signifcantly decreased 12 hour after CRRT ( P<0.05),while MAP and PaO2 significantly increased ( P<0.05).Six of the 23 suvivals received regular dialysis and fifteen stopped dialysis treatment when their renal function returned to preoperative levels and urine volume recovered.Postoperation follow-up period was(12.2±1.5)months.All patients were asymptomatic and thequality of life remarkably improved.Conclusion CRRT can be an important procedure in the periopeartive treatment forcardiac surgical patients with severe renal insufficiency.
Keywords：Renal dysfunctionRenal replacement thempyHeart surgery
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 229-232 )