Patients may be delayed to develop renal ischemia and kidney injury, but acute kidney injury usually presents with non-bright red urine. The urine manifestation of acute kidney injury is usually dark urine and turbid urine.
Clinically, there are generally two indicators to distinguish acute kidney injury. One is urine output. Low urine output is the most typical clinical symptom of acute kidney injury. The other is serum creatinine value. Acute kidney disease can be classified according to urine output and serum creatinine value.
Kidney injury is divided into three levels. Clinical classification has always been used to guide clinical treatment plans. When it is classified into three levels, it is necessary to consider starting a hemodialysis plan.
Now the patient's urine has become darker after returning to the ICU. The ICU doctor hurriedly sent urine samples and blood samples to the laboratory for testing. At this time, it can be easily said that this patient has acute kidney injury due to previous diseases.
?Obviously not possible.
Doctors must seek truth from facts and cannot blame all the blame on the patient's previous illness. This will be very detrimental to the patient's subsequent treatment.
Xie Wanying mentioned this to Brother Xia: "It is estimated that the proportion of acute kidney injury caused by surgery is larger. The rate of acute kidney injury after cardiothoracic surgery is very high."
This is an unavoidable surgical complication. As long as the patient uses extracorporeal circulation during surgery, many harmful factors in the extracorporeal circulation, such as myoglobin inflammatory mediators, etc., are too easy to cause acute kidney injury. At this time, the so-called renal hypoperfusion produces acute kidney injury.
On the contrary, the possibility of injury is ranked lower.
Xia Dongxian listened to her methodical analysis and nodded in his mind: I have heard before that this junior sister is very good at learning surgical and internal medicine knowledge. Now it seems more than that, the junior sister has the potential to be a big boss. Dai Ronghong recommended the right person
.
As an ICU doctor, Xia Dongxian has dealt with big names in various disciplines too many times. It can be said that he understands what the qualifications of a big shot are better than other doctors.
The perioperative management of critically ill patients is not only a key difficulty in the ICU, but also a test of whether a surgical master has real abilities.
Some hospital surgeons leave such patient problems to the ICU doctors, but some do not. The older the surgeon is, the less likely he is to dump the blame. Especially when it comes to these key patients that are related to other important matters, the boss personally keeps an eye on them.
Not surprisingly, Xia Dongxian didn't need to notify him and quickly met Fu Xinheng who came over after taking a rest after the operation.
Wearing slippers and standing at the door of their ICU office, Fu Xinheng took his hand out of his white coat pocket and waved it, hinting to Xia Dongxian that he didn't need to speak.
Seeing this robot sneaking around, it must have bad intentions and a purpose. Xia Dongxian's eyes rolled: Could it be that he wanted to inspect his junior sister in all aspects and be particularly picky?
This possibility is very high. One of the reasons why robots are called robots is that they do not know how to adapt and are too harsh.
Xie Wanying was immersed in studying the patient's medical records. She didn't raise her head and didn't notice anyone coming. She said: "Analysis of acute kidney injury from serum creatinine and urine output alone is not enough. Biological markers usually need to be added. Now the patient's urine is brown, so acute kidney injury must be considered."
The possibility of renal tubular necrosis. The influencing factors during the operation will no longer be discussed after the operation. Judging from other indicators of today’s patients, I personally think that the most critical point is blood transfusion.”
"Blood transfusion?" Xia Dongxian was surprised.
If you have a kidney problem and don’t take medicine, you just want blood transfusion?
“To recover after surgery, the kidneys must return to adequate renal perfusion, allowing the patient’s kidneys to have the conditions to repair themselves.”