2023 年第 6 期 第 18 卷

急性A型主动脉夹层术后急性肾损伤的研究进展

Research progress of acute kidney injury after acute type A aortic dissection surgery

作者：陈鹏飞王立清曲开勇

英文作者：Chen Pengfei Wang Liqing Qu Kaiyong

单位：中国医学科学院北京协和医学院国家心血管病中心阜外医院心外科，北京100037

英文单位：Department of Cardiac Surgery Fuwai Hospital National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100037 China Corresponding author: Qu Kaiyong Email: qukaiyong821@163.com

关键词：急性A型主动脉夹层；急性肾损伤；术后并发症；登记研究；肾脏替代治疗

英文关键词：AcutetypeAaorticdissection;Acutekidneyinjury;Postoperativecomplications;Registrationstudy;Kidneyreplacementtherapy

• 摘要：

• 急性肾损伤(AKI)是急性A型主动脉夹层(ATAAD)术后的常见并发症。本综述介绍了国际大型夹层登记数据库关于该并发症的研究进展和病理生理机制，探讨了围手术期相关危险因素和预测模型的开发及ATAAD术后AKI的不同诊断标准，总结AKI的预防和治疗策略。

• Acute kidney injury (AKI) is a common complication after acute type A aortic dissection (ATAAD) surgery. This paper presents the research progress and pathophysiological mechanism of AKI in international large dissection registration database, discusses perioperative related risk factors, development of prediction models and different diagnosis standards for AKI after ATAAD surgery, and summarizes the prevention and treatment strategies of AKI.