Goren Or, Levy Amalia, Cattan Anat, Lahat Guy, Matot Idit
Division of Anesthesiology, Pain, and Intensive Care, Tel Aviv Medical Center, Tel Aviv University Sackler School of Medicine, Tel Aviv, Israel; Departments of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Departments of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Am J Surg. 2017 Aug;214(2):246-250. doi: 10.1016/j.amjsurg.2017.01.040. Epub 2017 Jan 30.
Acute kidney injury (AKI) is a devastating postoperative complication. Intraoperative urine output is assumed to reflect patient's intravascular volume and kidney function. We thus evaluated the incidence of postoperative AKI and its association with intraoperative urine output and the volume of fluid administered.
A retrospective study on 153 consecutive patients admitted to Tel Aviv Medical Center for pancreatic surgery.
The incidence of AKI in patients undergoing pancreatic surgery was 9.8%. Oliguria was not a predictor of AKI. There was no association between the amount of fluids administered and AKI. Pulmonary disease is an independent predictor of AKI. AKI is an independent predictor of mortality.
AKI is common in patients undergoing pancreas surgeries and is associated with high mortality. Neither urine output, nor the volume of fluids administered correlate with postoperative AKI. Low diuresis is therefore not a sole marker for fluid administration.
急性肾损伤（AKI）是一种严重的术后并发症。术中尿量被认为可反映患者的血管内容量和肾功能。因此，我们评估了术后AKI的发生率及其与术中尿量和补液量的关系。
对连续入住特拉维夫医疗中心接受胰腺手术的153例患者进行回顾性研究。
接受胰腺手术患者的AKI发生率为9.8%。少尿不是AKI的预测指标。补液量与AKI之间无关联。肺部疾病是AKI的独立预测指标。AKI是死亡率的独立预测指标。
AKI在接受胰腺手术的患者中很常见，且与高死亡率相关。尿量和补液量均与术后AKI无关。因此，低尿量不是补液的唯一指标。
