小儿先天性心脏病术后的肾脏替代性治疗【精品课件】教材-课件.pptVIP

小兒先天性心臟病術後的腎臟替代性治療;Acute renal failure 小兒先天性心臟病術後重要的合併症 發生率:高達32.8%(1.6-32.8%) 死亡率: 20-79% (~50% );Risk factors The duration of CPB High RACHS-1 score Post-op low cardiac output Need for circulatory arrest Complex cardiac lesions Young age Post-op central venous hypertension Post-op use of epinephrine or isoprenaline;;Management Diuretic Therapy Inotropic Agents Renal Replacement Therapy Peritoneal Dialysis Prophylactic PD Hemofiltration CVVH;Indication of RRT 1. Anuria or oliguria (1ml/kg/h) 4 hours despite intervention 2. Creatinine 75 ?mol/L