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急性肾功能衰竭是心脏移植术后一种较为多见的严重的并发症。我们通过对2例原位心脏移植术后发生急性肾功能衰竭的患者的治疗,分析得到其发生原因与患者长期的心功能不全引起的肾灌注不足、手术中和术后的低血压过程以及免疫抑制剂的使用产生的肾脏损害等有密切的关系。维持循环系统的的稳定是预防和治疗急性肾衰的重要环节,包括纠正出现的心功能不全和有效循环血容量的不足;对于有透析指征的患者持续的血液透析是维持该类患者生命等待肾功能恢复的重要手段。
Acute renal failure is a more common and serious complication after heart transplantation. We analyzed the causes of acute renal failure in two patients who had undergone orthotopic heart transplantation and the reasons for their lack of renal perfusion caused by long-term cardiac insufficiency, the postoperative and postoperative hypotensive processes, and immunological Inhibitors of kidney damage caused by the use of such a close relationship. To maintain the stability of the circulatory system is an important part of prevention and treatment of acute renal failure, including correction of cardiac insufficiency and lack of effective circulating blood volume; continuous hemodialysis in patients with dialysis indications is to maintain the life expectancy of such patients Renal function is an important means of recovery.