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腹腔镜手术后急性肾损伤的研究进展
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Abstract:
急性肾损伤(Acute kidney injury, AKI)为腹腔镜根治术后常见并发症，患者会在短时间内出现肾功能急剧减退，从而引起水肿、水、电解质紊乱等症状，不仅影响术后恢复，还会增加死亡风险。和心血管的手术对比来说，腹腔镜下的手术术后发生AKI的机率并不算低，但是临床上对于术后AKI的研究其实并没有很多。因此，本文将综述腹腔镜手术后急性肾损伤(AKI)的诊断标准、临床定义及其相关危险因素，并探讨相关的治疗进展。
Acute kidney injury (AKI) is a common complication after laparoscopic radical resection, in which patients experience rapid decline in renal function in a short period of time, resulting in symptoms such as edema, water and electrolyte imbalances, which not only affect postoperative recovery, but also increase the risk of death. Compared with cardiovascular surgery, the probability of AKI after laparoscopic surgery is not low, but there are not many clinical studies on postoperative AKI. Therefore, this article will review the diagnostic criteria, clinical definition, and associated risk factors for acute kidney injury (AKI) after laparoscopic surgery, and discuss related treatment advances.
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