| 胃肠外科手术后急性肾损伤病因分析 |
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| 引用本文： | 毕丹青,周竹,毕丹艳,罗华友,钟鸣. 胃肠外科手术后急性肾损伤病因分析[J]. 昆明医学院学报, 2013, 0(11): 84-86 |
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| 作者姓名： | 毕丹青 周竹 毕丹艳 罗华友 钟鸣 |
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| 作者单位： | [1]昆明医科大学第一附属医院肾内科,云南昆明650031 [2]云南省第一人民医院风湿免疫科,云南昆明650032 [3]昆明医科大学第一附属医院胃肠外科,云南昆明650031 [4]云南省第一人民医院普外一科,云南昆明650032 |
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| 摘 要： | 目的：探讨胃肠外科手术后急性肾损伤（acute kidney injury，AKI）的临床危险因素．方法对昆明医科大学第一附属医院及云南省第一人民医院胃肠外科近2a收治的手术患者进行回顾性分析．结果胃肠外科手术后AKI发病率为2.1％．单因素分析筛选，又经多因素回归分析显示：年龄、急诊手术、严重感染与AKI的发生明显相关，结论 AKI是腹部外科手术后常见的并发症，年龄＞65岁、急诊手术、重症感染是AKI发生的危险因素.
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| 关 键 词： | 胃肠外科手术 急性肾损伤 病因 |
Analysis of Causes of Postoperative Acute Kidney Injury in Patients with Gastrointestinal Surgery |
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| BI Dan--qing,ZHOU Zhu,BI Dan--yan,LUO Hua--you,ZHONG Ming. Analysis of Causes of Postoperative Acute Kidney Injury in Patients with Gastrointestinal Surgery[J]. Journal of Kunming Medical College, 2013, 0(11): 84-86 |
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| Authors: | BI Dan--qing ZHOU Zhu BI Dan--yan LUO Hua--you ZHONG Ming |
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| Affiliation: | 1 ) Dept.of Nephrology, 1st AJfiliated Hospital of Kunming Medical University, Kunming Furman 650031 ; 2) Department of Rheumatology, The 1st People＇s Hospital of Yunnan Provice; 3 ) Department of General Surgerr, First Affiliated Hospital of Kunming Medical University, Kunming Yunnan 650031; 4 ) Department of General Surgery, The 1st People＇s Hospital of Yunnan Provice) |
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| Abstract: | Objective To analyze the risk factors of acute kidney injury （AKI） in the patients undergoing gastrointestinal surgical procedures.Methods We retrospectively analyzed all gastrointestinal surgical patients nearly 2 years who were in the first affiliated hospital of Kunming Medical University and the first people＇s hospital of Yunnan province.Results The incidence of AKI was 2.1%.Univariate analysis and multivariate analysis indicated that： age〉65 years, emergency operation and serious infection were significantly related with the incidence of AKI.Conclusion AKI is a common complication after gastrointestinal surgical procedures.This study showed that age〉65 years, emergency operation, serious infection were risk factors most likely associated with postoperative AKI development. |
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| Keywords: | Gastrointestinal Surgical procedures Acute kidney injury Causes analysis |
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