Suy thận cấp tính sau sửa chữa phình động mạch chủ bụng vỡ

Han Van Hoa, Nguyen Duy Tan, Dang Quang Huy

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Abstract

To retrospective the 24-hour cases after RAAAr at Cho Ray Hospital from January 1, 2015 to December 31, 2019. 65/85 cases survived 24 hours after RAAAr. Most people over 60 years old, most commonly aged 60-69 years (47.7%). Male 3 times female (49/16). Major open surgery was 87.7%. Shock with blood pressure below 80 mmHg in only 6 cases. The majority of aortic artery clamps under the renal artery (73.7%), on the renal artery 15 cases. Acute kidney failure when hospital admission 15 cases, mostly mild (1 point). After repair, 38.5% (25/65) cases of kidney failure, 14/25 cases of moderate to severe failure (≥ 2 points), dialysis 16 cases. Factors location aortic clamp, Creatinin and Hb hospital admission are causes kidney failure (p <0.05). The position of aortic clamp is strongest and positive. Acute kidney failure after RAAAr is higher than reported by dialysis rate. Factors location aortic clamp, Creatinin and Hb hospital admission are causes kidney failure.


 

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References

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