The status of renal dysfunction after open cardiac surgery with cardiopulmonary bypass
- Author:
Nguyen Quoc Kinh
- Publication Type:Journal Article
- Keywords:
renal dysfunction
- MeSH:
Renal Insufficiency;
Thoracic Surgery;
Cardiopulmonary Bypass
- From:Journal of Practical Medicine
2005;512(5):26-28
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Evaluation of renal dysfunction was performed in 103 patients (44 males, 59 females, between 9 and 65 years old), operated open cardiac surgery with cardiopulmonary bypass in Vietduc Hospital. Exclusive criteria included: chronic renal failure, renal calculus, urinary incontinence, taking drugs that affected to urinary elimination and creatinine quantitative analysis. The results: according to a diagnostic criterion of Morgan and Mikhail, renal dysfunction after open cardiac surgery was 47.57%. Only 6.12% was single renal dysfunction and 91.84% was multi-organs failure (in which, 71.43% was renal - cardiac failure, 16.33% was renal, cardiac and pulmonary failure). The more duration of staying in cardiac intensive care unit, the more serious renal dysfunction was, with slight and medium forms were 36.55 hours, serious form was (7.77%) was 140.12 hours. The patients died and progressed seriously caused by renal failure with forms of anuria or oliguresis, type B and C, decrease of creatinine clearance combined with increase of free water clearance.
