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由于复杂手术的开展和高危病人接受手术治疗的机会增多,术后发生急性少尿性肾衰的病人,即使及时应用血液透析及静脉高营养支持,其死亡率仍高于50%。非少尿性肾衰多数是由于使用肾毒性药物或肾缺血所致,其死亡率也有7~26%。因此,预防急性肾衰以及对可能已有肾衰的围术期病人的正确处理就显得十分重要。本文讨论如何判断围术期病人的肾
Patients with acute oliguric renal failure who have post-surgery complications, even with timely hemodialysis and intravenous nutrition support, have a mortality rate well above 50%, due to the increased number of complicated surgeries and increased risk of surgical treatment in high-risk patients. Non-oliguric renal failure due to the use of nephrotoxic drugs or renal ischemia, the mortality rate of 7 to 26%. Therefore, it is important to prevent acute renal failure and to properly handle perioperative patients who may have had renal failure. This article discusses how to determine perioperative patients with kidney