欣怡 1,2 , 劉芳 1 , 張凌 1
  • 1 四川大學華西醫院腎內科（成都，610041）;2 成都市第十人民醫院內科;
急性腎功能衰竭 預后 回顧性分析
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【摘要】　目的　 總結急性腎功能衰竭（acute renal failure， ARF）的病因特點、治療情況與預后的關系。　方法　 回顧性分析2007年8月-2008年4月77例ARF的臨床資料，總結各種因素與患者預后的關系。　結果　 腎性因素是最主要的致病病因，占77.92%，其中以藥物和中毒居多。老年患者、少尿型患者或合并多臟器功能衰竭患者病死率較高，分別為25.93%，29.55%，83.33%。　結論　 ARF應早期診斷，積極給予綜合治療，包括腎臟替代治療，老年ARF患者易出現多臟器功能衰竭、合并感染等，應放寬透析指征，并注意去除高危因素以提高存活率。
【Abstract】　Objective　 To explore the clinical features, treatment, and prognosis of acute renal failure (ARF).　Methods　 The clinical data of 77 patients with ARF from Auguest 2007 to April 2008 were retrospectively analyzed.　Results　 Renal factor was the most important cause of ARF, accounting for 77.92%. The mortalities of elderly patients, oliguric patients and with multiple organ failure were 25.93%, 29.55%, and 83.33%, respectively.　Conclusion　 Patients with ARF should be diagnosed as early as possible and given comprehensive treatments, including renal replacement therapy; the elderly patients with multiple organ failure and infection should be relaxed dialysis indications. We should pay attention to the removal of risk factors to improve the survival rate.

引用本文： 欣怡,劉芳,張凌. 77例急性腎衰竭患者臨床特征和預后分析. 華西醫學, 2010, 25(11): 2001-2003. doi: 復制