急性高血糖:造影剂肾病的一个新的危险因素

摘要

急性高血糖已成为反映急性心肌梗死患者病情严重程度、判断预后的重要指标.近年来有关急性高血糖与造影剂肾病的研究受到很大的关注.现将从急性高血糖的诊断标准、产生原因、急性高血糖与造影剂肾病相关的临床试验及病理生理机制进行综述.急性高血糖作为造影剂肾病发生的一个新的危险因素,有着重要的临床意义.尤其那些既往无糖尿病史而发生急性高血糖的患者应被视为发生造影剂肾病的高危群体,密切关注患者术后肾功能变化,并考虑给予相应的预防措施.%Acute hyperglycemia has been an important indicator of disease severity and prognosis in patients with acute myocardial infarction. However, recent studies have shown that acute hyperglycemia is also a risk factor for contrast-induced nephropathy ( CIN) , and patients with acute hyperglycemia who have no history of diabetes should be considered CIN high-risk groups. This article reviews diagnostic criteria, causes, and clinical trials for acute hyperglycemia and contrast-induced nephropathy.