Serious acute renal failure following open heart surgery.

Serious acute renal failure following open heart surgery.
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心脏直视手术后严重急性肾功能衰竭。

DOI:
10.1055/s-2007-1014142
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发表时间:
1985
期刊:
The Thoracic and cardiovascular surgeon
影响因子:
--
通讯作者:
J. Leusink
J. Leusink
中科院分区:
--
文献类型:
--
作者:
H. Koning;A. Koning;J. Leusink

文献摘要

被引文献

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The influence of 51 preoperative, peroperative and postoperative variables on the development of serious acute renal failure (ARF) following open heart surgery was studied. Although a large number of significant variables was found, a logit-model with only 2 explanatory variables showed an almost perfect fit. With this model the chances of serious ARF up to 90% were estimated. The results suggest that a critical circulation is the main cause of serious ARF. Furthermore, a reduced ability to cope with a critical circulation without renal failure plays an important role in the pathogenesis. There is a higher risk of serious ARF for patients older than 70, especially when circulatory support with dopamine is needed.