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乌司他丁对体外循环术后肾功能的影响

[Effects of ulinastatin on postoperative renal function after cardiopulmonary bypass].

作者信息

Ueki M, Yokono S, Nogaya J, Taie S, Komatsu H, Nakano M, Ogli K

机构信息

Department of Anesthesiology and Emergency Medicine, Kagawa Medical School.

出版信息

Masui. 1995 May;44(5):691-7.

PMID:7609298
Abstract

The effects of ulinastatin on postoperative renal function after the open cardiac surgery under cardiopulmonary bypass (CPB) were studied. N-acetyl-beta-D-glucosaminidase in urine as a marker of tubular function and serum creatinine rose significantly after CPB in the control group but not in the ulinastatin group. Ulinastatin was considered to be effective in protection of tubular function after CPB. In patient with poor preoperative renal function, ulinastatin prevented the deterioration of postoperative renal function by protecting tubular function.

摘要

研究了乌司他丁对体外循环(CPB)下心内直视手术后肾功能的影响。对照组CPB后尿中作为肾小管功能标志物的N-乙酰-β-D-氨基葡萄糖苷酶和血清肌酐显著升高,而乌司他丁组则未出现这种情况。乌司他丁被认为对CPB后肾小管功能具有保护作用。对于术前肾功能较差的患者,乌司他丁通过保护肾小管功能防止术后肾功能恶化。

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