心脏骤停复苏后急性肾损伤的研究进展

doi:10.3969/j.issn.1002-1949.2019.07.019

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摘要心脏骤停（CA）是威胁人类生命安全的重大公共健康问题。CA复苏后机体出现以脑损伤与心功能障碍为主的多脏器功能不全，称为心脏骤停后综合征（PCAS）。研究显示，CA患者复苏后急性肾损伤（AKI）的发生率高达50%，成为仅次于复苏后心、脑损伤的又一常见脏器损伤。如何进行早期预防、识别与干预治疗，对于遏制复苏后AKI的发生发展十分重要。本文将对CA复苏后AKI的临床诊断、流行病学现状、发病机制、监测及治疗等方面的进展做一综述。

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	金晓红
	徐杰丰
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关键词 ：心脏骤停（CA）, 心肺复苏（CPR）, 心脏骤停后综合征（PCAS）, 急性肾损伤（AKI）

基金资助:浙江省医药卫生科技计划项目（2017KY718）；台州市科技计划项目（1702KY57）

通讯作者: 张茂(1972-)，男，博士，主任医师，E-mail：z2jzk@zju.edu.cn。

作者简介: 金晓红(1978-)，女，硕士，副主任医师，E-mail：jxh12199@163.com。

引用本文:

金晓红，徐杰丰，张茂. 心脏骤停复苏后急性肾损伤的研究进展[J]. 中国急救医学, 2019, 39(7): 704-709.
Jin Xiao-hong, Xu Jie-feng, Zhang Mao. Research progress of acute kidney injury after cardiac arrest and resuscitation. Chinese Journal of Critical Care Medicine, 2019, 39(7): 704-709.

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http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2019.07.019 或 http://www.cnemergency.org.cn/CN/Y2019/V39/I7/704

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