fter radiocontrast has been tested with unconvincing result,and the benefits of perioperative IV sodium bicarbonate infusion in cardiac surgical patients are yet to be confirmed.the most widely accepted treatment to prevent or treat AKI(although untested in controlled trials)remains prompt fluid resuscitation of circulatory volume and appropriate cardiac output and perfusion pressure.?预防造影剂引发的AKI的乙酰半胱胺酸的作用被证明不确定,在心脏手术患者中围手术期的静注碳酸氢钠的益处也未被确定。目前广泛预防或治疗AKI的措施(虽然未被对照试验证明)依然是及时补充液体恢复血循环的复苏以及适度应用强心剂/血管加压素以维持充足的心输出量和灌注压。Why therapies have been essful?Beyond these measures,cases unresponsive to fluid resuscitation in the presence of hyperkalemia,metabolic acidosis or fluid monly receive renal replacement therapy/dialysis to support the kidneys.?除了这些措施外,高钾血症,代谢性酸中毒或液体负荷过重的病例对液体复苏无反应,此时多需接受肾脏替代治疗/透析。
全文预览
