ЭКСТРАКОРПОРАЛЬНАЯ КОРРЕКЦИЯ В РАННЕМ ПОСЛЕОПЕРАЦИОННОМ ПЕРИОДЕ У БОЛЬНЫХ С ТЯЖЕЛОЙ ОСТРОЙ ИШЕМИЕЙ НИЖНИХ КОНЕЧНОСТЕЙ

  • О. А. Зарудный ГУ «Институт общей и неотложной хирургии им. В.Т. Зайцева НАМНУ»
  • Ю. В. Иванова ГУ «Институт общей и неотложной хирургии им. В.Т. Зайцева НАМНУ»
  • Б. В. Гилёв Харьковский национальный университет им. В.Н. Каразина
Keywords: reperfusion injury, acute ischemia, CRRT

Abstract

The clinical results of the use of Continuous Veno-Venous High Flux Dialysis (CVVHFD) in the early postoperative period in 37 patients with severe lower limb ischemia and an elevated preoperative level of blood creatinine were studied. The dynamics of total creatine phosphokinase, myoglobin, potassium in the early postoperative period was studied. The use of CVVHFD before the manifestation of the classic clinical presentation of renal dysfunction reduces the risk of adverse cardiopulmonary events from 26.1% to 14.3% and decreases the incidence of clinical renal dysfunction from 30.4% to 14.3%.

References

Biancari F. Meta-analysis of the prevalence, incidence and natural history of critical limb ischemia. J Cardiovasc Surg (Torino) 2013;54:663–669.

Кутепов ДЕ, Жигалова МС, Пасечник ИН. Патогенез синдрома ишемии-реперфузии. Казанский мед. ж. 2018;99 (4):640–644.

Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FG et al, Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). J Vasc Surg. 2007;45:5–67.

Zeng X1, Zhang L, Wu T, Fu P Continuous renal replacement therapy (CRRT) for rhabdomyolysis. Cochrane Database Syst Rev. 2014 Jun 15;(6):CD008566. doi: 10.1002/14651858.CD008566.pub2.

Lopes JA, Jorge S. The RIFLE and AKIN classifications for acute kidney injury: a critical and comprehensive review. Clin Kidney J. 2013 Feb;6(1):8-14. Epub 2012 Jan 1. DOI: 10.1093/ckj/sfs160.

Zimmerman JL and Shen MC. Rhabdomyolysis. Chest 2013;144:1050–1065.

Subramanian A, Sukheeja D, Trikha V, Pandey AK, Albert V, Pandey RM. Evaluation of serum creatine kinase and urinary myoglobin as markers in detecting development of acute renal failure in severely injured trauma patients. ISRN Emerg Med. 2013;2013:1–7.

Premru V, Kovač J, Ponikvar R Use of myoglobin as a marker and predictor in myoglobinuric acute kidney injury. Ther Apher Dial. 2013 Aug;17(4):391-395. doi: 10.1111/1744-9987.12084.

Schiffl H. Prevention of acute kidney injury by intravenous sodium bicarbonate: the end of a saga. Crit Care. 2014 Nov 27;18(6):672. doi: 10.1186/s13054-014-0672-0.

Yassin MM, Harkin DW, Barros D'Sa AA, Halliday MI, Rowlands BJ. Lower limb ischemia‐reperfusion injury triggers a systemic inflammatory response and multiple organ dysfunction. World J Surg. 2002 Jan;26(1):115-121.

Eliason JL, Wakefield TW. Metabolic consequences of acute limb ischemia and their clinical implications. Semin Vasc Surg. 2009 Mar;22(1):29-33. doi: 10.1053/j.semvascsurg.2009.01.001.

Kazimierczak A, Szumiłowicz P, Samad R, Gutowski P, Wiśniewska M, Gnaś J, et al. [Kidney protection therapy in acute limb ischemia] Ann Acad Med Stetin. 2013;59(2):7-11.

Views:

188

Downloads:

154

Published
2019-07-31
Citations
How to Cite
О. А. Зарудный, Ю. В. Иванова, & Б. В. Гилёв. (2019). ЭКСТРАКОРПОРАЛЬНАЯ КОРРЕКЦИЯ В РАННЕМ ПОСЛЕОПЕРАЦИОННОМ ПЕРИОДЕ У БОЛЬНЫХ С ТЯЖЕЛОЙ ОСТРОЙ ИШЕМИЕЙ НИЖНИХ КОНЕЧНОСТЕЙ. World Science, 1(7(47), 43-47. https://doi.org/10.31435/rsglobal_ws/31072019/6589