Krian A, Grabensee B, Körfer R, Rumpf P, Wittenhagen D, Zumfelde L, Bircks W
Thoraxchir Vask Chir. 1975 Aug;23(4):403-7. doi: 10.1055/s-0028-1096993.
After 9021 cardiovascular operations 210 patients developed acute renal failure. 140 (67%) out of this group died. The mortality rate of acute renal failure could be reduced from 80% (1958-1966) to 50% (1973-1974). Dialysis treatment should begin early and also in special cases, in which the cause of acute renal failure is not under control. Beyond optimal dialysis therapy common intensive care is important for the prognosis of acute renal failure, especially adaption of drugs to renal function (antibiotics and digitalis), high-caloric alimentation, consequent treatment of infections, strict balance of fluid and electrolytes.
在9021例心血管手术后，210例患者发生急性肾衰竭。该组中有140例（67%）死亡。急性肾衰竭的死亡率可从80%（1958 - 1966年）降至50%（1973 - 1974年）。透析治疗应尽早开始，在急性肾衰竭病因未得到控制的特殊情况下也应进行。除了最佳的透析治疗外，常规的重症监护对急性肾衰竭的预后很重要，特别是根据肾功能调整药物（抗生素和洋地黄）、高热量营养支持、积极治疗感染、严格维持液体和电解质平衡。
