sechenovSechenov Medical JournalСеченовский вестник2218-73322658-3348Сеченовский Университетsechenov-585Research ArticleCLINICAL RESEARCHКЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯAcute Renal Dysfunction After Cardiac Surgery: Predictors, Mechanisms of Development and Criteria for DiagnosisОстрая почечная недостаточность в кардиохирургической практике: предикторы, механизмы развития и критерии диагнозаБеловЮ. В.BelovYu. V.

д.м.н., академик РАН, профессор, директор

MD, academician of RAS, prof., director

ЛитвицкийП. Ф.LitvitskyP. F.

Пeтр Францевич Литвицкий, д.м.н., профессор, чл.-корр. РАН, заведующий кафедрой патофизиологии

119991, г. Москва, ул. Трубецкая, д. 8, стр. 2.

тел.: 8 (985) 769–07–38

Petr Frantsevich Litvitsky, MD, prof., corresp. member of RAS, head of the chair  of pathophysiology

8/2 Trubetskaya str., Moscow, 119991

8 (985) 769–07–38

litvicki@mma.ruВинокуровИ. А.VinokurovI. A.

к.м.н., врач, сердечно-сосудистый хирург, младший научный сотрудник научно-образовательного клинического центра аорты и инвазивной кардиологии

PhD, physician, cardiovascular surgeon, associate researcher of the Educational and Clinical Center of aorta and invasive cardiology

ФГБНУ РНЦХ им. академика Б.В. ПетровскогоРоссияFederal State Scientifi c Institution «Russian Scientifi c Center of Surgery named after academician B.V. Petrovsky»Russian FederationПервый МГМУ им. И.М. СеченоваРоссияI.M. Sechenov First MSMURussian Federation20153012201504411Copyright © Belov Y.V., Litvitsky P.F., Vinokurov I.A., 20152015Белов Ю.В., Литвицкий П.Ф., Винокуров И.А.Belov Y.V., Litvitsky P.F., Vinokurov I.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sechenovmedj.com/jour/article/view/585

This publication describes severe complication after cardiac surgery – acute renal failure; the current literature on the development of acute renal failure after cardiac surgery. In publication report reason of acute renal failure, the criteria for diagnosis are viewed. The criteria for diagnosis are discussed, taking into account the specifi cs of kidney damage after cardiopulmonary bypass or a long period of ischemia. The article describes methods of reducing kidney damage during cardiac arrest during thoracoabdominal aorta surgery. The information is presented in terms of the clinician, they can be applied in everyday practice of the surgeon. Accounting data presented will reduce the incidence of this complication. 

В работе проведен анализ современной литературы по проблемам этиологии, патогенеза, диагностики и последствий часто встречающегося после кардиохирургических операций тяжелого осложнения: острой почечной недостаточности (ОПН). Критерии диагноза ОПН обсуждаются с учетом специфики поражения почек после искусственного кровообращения или длительного периода их ишемии. Отдельно описаны способы снижения степени повреждения почек при остановке кровообращения в них во время операций на торакоабдоминальной аорте. Материалы анализируются с позиций врача-клинициста и патофизиолога. Результаты анализа могут учитываться в практике кардиохирургов, что позволит снизить частоту такого грозного осложнения как ОПН.

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The authors declare that there are no conflicts of interest present.