CAJ | 학술논문

目的：探讨胃肠外科手术后急性肾损伤（acute kidney injury，AKI）的临床危险因素．方法对昆明医科大学第一附属医院及云南省第一人民医院胃肠外科近2a收治的手术患者进行回顾性分析．结果胃肠外科手术后AKI发病率为2.1％．单因素分析筛选，又经多因素回归分析显示：年龄、急诊手术、严重感染与AKI的发生明显相关，结论 AKI是腹部外科手术后常见的并发症，年龄＞65岁、急诊手术、重症感染是AKI发生的危险因素.
목적：탐토위장외과수술후급성신손상（acute kidney injury，AKI）적림상위험인소．방법대곤명의과대학제일부속의원급운남성제일인민의원위장외과근2a수치적수술환자진행회고성분석．결과위장외과수술후AKI발병솔위2.1％．단인소분석사선，우경다인소회귀분석현시：년령、급진수술、엄중감염여AKI적발생명현상관，결론 AKI시복부외과수술후상견적병발증，년령＞65세、급진수술、중증감염시AKI발생적위험인소.
Objective To analyze the risk factors of acute kidney injury (AKI) in the patients undergoing gastrointestinal surgical procedures.Methods We retrospectively analyzed all gastrointestinal surgical patients nearly 2 years who were in the first affiliated hospital of Kunming Medical University and the first people's hospital of Yunnan province.Results The incidence of AKI was 2.1%.Univariate analysis and multivariate analysis indicated that: age>65 years, emergency operation and serious infection were significantly related with the incidence of AKI.Conclusion AKI is a common complication after gastrointestinal surgical procedures.This study showed that age>65 years, emergency operation, serious infection were risk factors most likely associated with postoperative AKI development.