目的 探讨急性左心衰竭患者并发急性肾损伤（AKI）的危险因素。方法 回顾性分析188例因急性左心衰竭发作入住福建医科大学附属第一医院的成年患者临床资料，用Logistic回归分析评估AKI发生的危险因素。 结果 188例急性左心衰竭患者继发AKI的发生率为33.51%。Logistic单因素及多因素回归分析结果显示，基线eGFR低和贫血是急性左心衰竭并发AKI的独立危险因素，OR值分别为4.294和3.573，均P﹤0.01。 结论 急性左心衰竭并发AKI的发生率较高，基础肾功能差和贫血是发生AKI的独立危险因素。

Objectives To investigate the risk factors of acute renal injury (acute kidney injury) in patients with acute left heart failure. Methods Clinical data of 188 patients with acute left heart failure who were admitted to our hospital were retrospectively analyzed. Logistic regression analysis was used to assess the risk factors for AKI. Results Among 188 patients with acute left heart failure, incidence of acute kidney injury was 33.51%. Univariate and Multivariable logistic regression analyses showed that the independent predictors of acute kidney injury were lower baseline eGFR (OR=4.294, P＜0.001) and anemia (OR=3.573, P=0.006). Conclusions The incidence of acute left heart failure complicated with AKI was high. Basic state of renal function and anemia were the independent risk factors for AKI.