Assistant Professor, Perioperative and Consultative Medicine, Department of Internal Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Chief, Section of Perioperative and Consultative Medicine, Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Cleve Clin J Med. 2018 Jul;85(7):559-567. doi: 10.3949/ccjm.85a.17009.
Chronic kidney disease (CKD) is common in patients scheduled for surgery and increases the risk of postoperative acute kidney injury, major adverse cardiac events, and death. Acute kidney injury is a common complication of cardiac and noncardiac surgery and negatively affects both short- and long-term outcomes. If we can detect underlying CKD and other risk factors for acute kidney injury before surgery, we may in theory be able to give preventive therapies and improve perioperative outcomes.
慢性肾脏病（CKD）在接受手术的患者中很常见，会增加术后急性肾损伤、主要不良心脏事件和死亡的风险。急性肾损伤是心脏和非心脏手术的常见并发症，对短期和长期结局均有不利影响。如果我们能够在术前发现潜在的 CKD 和急性肾损伤的其他危险因素，理论上我们就可以给予预防性治疗并改善围手术期结局。
