Острое повреждение почек у больных, подвергшихся кардиохирургическим вмешательствам


Б.Г. Искендеров

ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РФ, кафед­ра терапии, кардиологии и функциональной диагностики Пензенского института усовершенствования врачей; Пенза, Россия
Острое повреждение почек (ОПП) является серьезным осложнением сердечно-сосудистой хирургии, и его выявляемость в зависимости от диагностических критериев и тяжести ОПП колеблется от 12 до 55%. Развитие ОПП обусловлено многократными воздействиями агрессивных факторов на почки, происходящими до и после операции. ОПП остается сильным независимым фактором повышенного риска прогрессирования хронической болезни почек и ассоциируется высокой госпитальной летальностью и поздними неблагоприятными кардиоваскулярными событиями. Чтобы улучшить долгосрочный прогноз, больше внимания должно быть уделено предотвращению ОПП после операции на сердце. Тяжелое ОПП, требующее проведения почечной заместительной терапии, встречается нечасто, но при этом летальность составляет от 40 до 80%. Это подчеркивает первостепенную важность терапевтических мероприятий, способных сохранять функцию почек в периоперационный период, особенно у пациентов с повышенным риском.

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Об авторах / Для корреспонденции


Искендеров Б.Г. – д.м.н., профессор кафедры терапии, кардиологии и функциональной диагностики Пензенского института усовершенствования врачей – филиала
ФГБОУ ДПО РПАНПО МЗ РФ; Пенза, Россия.
Е-mail: iskenderovbg@mail.ru


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