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急性肾损伤131例临床分析
引用本文:周竹,刘青,代薇. 急性肾损伤131例临床分析[J]. 昆明医学院学报, 2011, 32(1): 48-50
作者姓名:周竹  刘青  代薇
作者单位:1. 昆明医学院第一附属医院肾科,昆明,云南,650031
2. 昆明医学院第一附属医院图书馆,昆明,云南,650031
3. 昆明医学院第一附属医院消化内科,昆明,云南,650031
摘    要:
目的探讨急性肾损伤的临床特点.方法对131例急性肾损伤患者的临床资料进行分析.结果急性肾损伤发病率3.01%,非老年组常见病因是以肾毒性药物使用、动物毒素及感染等因素为主,而老年组则以梗阻引起肾后性为主.老年组的治愈率低于非老年组,病死率高于非老年组.结论控制加重因素,合理肾脏替代治疗是提高治老年急性肾损伤愈率,减少死亡率的主要治疗措施.

关 键 词:肾功能衰竭  急性  肾替代疗法

Clinical Analysis of 131 Patients with Acute Kidney Injury
ZHOU Zhu,LIU Qing,DAI Wei. Clinical Analysis of 131 Patients with Acute Kidney Injury[J]. Journal of Kunming Medical College, 2011, 32(1): 48-50
Authors:ZHOU Zhu  LIU Qing  DAI Wei
Affiliation:ZHOU Zhu1),LIU Qing2),DAI Wei3)(1)Dept.of Nephrology,2)Library,3)Dept.of Gastroenterology,the 1st Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China)
Abstract:
Objective To investigate the clinical features of acute kidney injury(AKI).Method One hundred and thirty-one patients with acute kidney injury were included in this retrospective study.Results The incidence of AKI was 3.01%.The common causes of AKI were use of nephrotoxic drug,zootoxin and infection in the non-elder(65y),and were obstruction caused by neoplasms and urinary calculi in the elder(65~79 y)and in the eldest(≥ 80y).The cure rate was significantly lower in the eldest and the elder than in the non-elder,and the mortality rate was significantly higher in the eldest and the elder than in the non-elder.Conclusion Comprehensive medical treatment combined with renal replacetment has satisfactory effect on acute kidney injury in improving the cure rate and reducing the mortality rate.
Keywords:Renal function failure  Acute  Renal replacement treatment  
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