急性损伤和心脏外丰坦转换后的中期结果
Tatsuya Kunigo1,2, Risa Oikawa3, Minoru Nomura3
1Department of Anesthesiology, Sapporo Medical University, School of Medicine, 291 South 1 West 16, Chuo-Ku, Sapporo-Shi, Hokkaido, 060-8543, Japan. tatsuya_9250@yahoo.co.jp.
Pediatric cardiology
|June 24, 2023
概括
术后急性损伤 (AKI) 在非心脏Fontan转换后增加了心力衰竭再入院的风险. 这一发现凸显了手术后监测功能的重要性.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學.
- 儿科手术 儿科手术
背景情况:
- 芬坦手术是复杂的先天性心脏病的缓解手术.
- 额外心脏Fontan转换旨在改善Fontan患者的治疗结果.
- 术后并发症,包括急性损伤 (AKI),可能会影响长期预后.
研究的目的:
- 为了调查术后AKI和由于心力衰竭而导致的无计划再入院之间的关联.
- 在两年后的随访期内评估这一关联.
- 为了分析经过心脏外Fontan转换的患者的结局.
主要方法:
- 回顾性单中心研究.
- 包括曾经经历过经典到心脏外Fontan转换的患者 (2014年1月至2021年12月).
- 基于病改善全球结果 (KDIGO) 标准的AKI诊断.
主要成果:
- 47名患者接受了Fontan转换.
- AKI发生在22名患者 (46.8%),其中5人需要替代疗法.
- 患有AKI的患者在2年内因心力衰竭而有显著更高的无计划再入院率 (36.4%对12.0%,p=0.026).
结论:
- 经过心脏外方 Fontan 转换后的术后 AKI 与心力衰竭再入院的增加有关.
- 即使功能恢复到基线时,这种关联仍然存在.
- 这些发现强调了Fontan患者转化后警性脏监测的重要性.
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