Chenitz Kara Beth, Lane-Fall Meghan B
Renal, Electrolyte and Hypertension Division, Department of Internal Medicine, Hospital of the University of Pennsylvania, 3400 Spruce Street, 1 Founders Building, Philadelphia, PA 19104, USA.
Anesthesiol Clin. 2012 Sep;30(3):513-26. doi: 10.1016/j.anclin.2012.07.004. Epub 2012 Aug 4.
Decreased urine output and acute kidney injury (also known as acute renal failure) are among the most important complications that may develop in the postanesthetic period. In this article, the authors present definitions of decreased urine output, oliguria, and acute kidney injury. They review the epidemiology, pathophysiology, and prevention of postoperative acute kidney injury. Finally, the article offers approaches to diagnosis and management of the postsurgical patient with decreased urine output or acute kidney injury.
少尿和急性肾损伤(也称为急性肾衰竭)是麻醉后可能出现的最重要并发症。在本文中,作者给出了少尿、无尿和急性肾损伤的定义。他们回顾了术后急性肾损伤的流行病学、病理生理学及预防措施。最后,本文提供了针对少尿或急性肾损伤的术后患者的诊断和管理方法。