| 急性肾功能衰竭78例临床分析 |
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| 引用本文： | 周蓉,王昆兰,王德明,赖国涛,李瑞君,李其润. 急性肾功能衰竭78例临床分析[J]. 大理医学院学报, 1999, 0(1) |
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| 作者姓名： | 周蓉 王昆兰 王德明 赖国涛 李瑞君 李其润 |
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| 作者单位： | 大理医学院非直属附属医院，大理市第一人民医院 |
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| 摘 要： | 目的：了解大理地区急性肾衰发病及防治现状。方法：分析大理地区二所综合医院１９９３年～１９９７年收治７８例急性肾衰的发病率、病因构成、死亡原因、死亡率与防治措施和特点。结果：该地区急性肾功能衰竭发病率在住院患者中的比例为５５％，引起急性肾功能衰竭主要病因生鱼胆中毒占４１％（３７／７８例）。死亡原因主要为多脏器功能衰竭。血液透析组死亡率９２３％，非透析组死亡率３８５％，两组之间存在统计学差异（Ｐ＜００１）。结论：急性肾功能衰竭在大理地区发病率偏高，食生鱼胆是主要病因。加强卫生宣教工作，发病后进行血液净化治疗是降低发病率和死亡率的关键。
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| 关 键 词： | 大理地区；急性肾功能衰竭；生鱼胆中毒 |
Clinical Analysis of 78 Cases of Acute Renal Failure |
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| Zhou Rong Wang Kunlang Wang Deming et al. Clinical Analysis of 78 Cases of Acute Renal Failure[J]. Journal of Dali Medical College, 1999, 0(1) |
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| Authors: | Zhou Rong Wang Kunlang Wang Deming et al |
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| Abstract: | Objective: To have a better understanding of the incidence of acute renal failure (ARF) and its prevention and treatment. Method:78 cases of ARF in the two general hospitals in Dali from 1993 to 1997 were analyzed for the pathological causes and death. Result: The incidence of ARF amounted to 5.5% of the in-patients. 41% of the ARF are due to fish gall intoxiation (37/78). The main cause of death is failure of multiple organs. Death rate of the group treated by blood dialysis is 9.23% while that of the control group is 38.5% (P<0.01). Conclusion: The incidence of ARF is comparatively high in Dali due to the habit of eating raw fish gall. The key to the reduction of the disease and death rate is to educate people and to treat it by blood clearance. |
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| Keywords: | Dali Acute renal failure |
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