| 住院患者急性损伤的流行病学分析 |
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| 引用本文： | 郭润民,卫月,罗远标,庞新华,曾蕾. 住院患者急性损伤的流行病学分析[J]. 世界中西医结合杂志, 2009, 4(9): 658-660 |
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| 作者姓名： | 郭润民 卫月 罗远标 庞新华 曾蕾 |
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| 作者单位： | 广东省湛江中心人民医院,广东,湛江,524000;广东省湛江中心人民医院,广东,湛江,524000;广东省湛江中心人民医院,广东,湛江,524000;广东省湛江中心人民医院,广东,湛江,524000;广东省湛江中心人民医院,广东,湛江,524000 |
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| 摘 要： | 目的研究住院患者急性肾损伤的流行病学、病因学及影响因素,探讨急性肾损伤的最新定义与诊断标准的实用价值。方法回顾性研究急性损伤患者的临床资料。结果观察期间住院患者共30053例次,其中急性损伤124例,老年急性肾损伤（AKI）患者52例,占41.9%。AKI主要病因为感染、心力衰竭和药物。AKI总体病死率为31.5%%,老年人病死率高,接受肾脏替代治疗组患者病死率低于保守治疗组（P〈0.05）。结论住院患者AKI的发生率、病死率高,替代治疗组预后较好。
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| 关 键 词： | 急性肾损伤 病因 住院 流行病学 病死率 |
Epidemiological Analysis on Acute Kidney Injury of Inpatients |
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| GUO Run-ming,WEI Yue,LUO Yuan-biao,PANG Xin-hua,ZENG Lei. Epidemiological Analysis on Acute Kidney Injury of Inpatients[J]. World Journal Of Integrated Traditional and Wesrern Medicine, 2009, 4(9): 658-660 |
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| Authors: | GUO Run-ming WEI Yue LUO Yuan-biao PANG Xin-hua ZENG Lei |
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| Affiliation: | (Guangdong Zhanjiang Central People＇s Hospital ,Zhanjiang Guangdong 524000) |
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| Abstract: | Objective To investigate the epidemiology, etiology and impact factors of acute kidney injury（AKI） for inpatients and explore the up - to - date definition of acute kidney injury and the practical value of diagnostic criteria. Methods The clinical data of AKI patients were studied retrospectively. Results Of 30 053 inpatients during the observation, 124 cases were acute injury,52 cases were senile AKI, accounting for 41.9%. The main etiologies of AKI were infection, heart failure and medications. The overall mortality of AKI was 31.5% and the mortality for aged people was even higher. The mortality in renal substitutive therapy group was lower than that I conservative therapy group （ P 〈 0.05 ）. Conclusion The incidence and mortality of inpatients are high. The substitutive therapy is good in prognosis. |
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| Keywords: | Acute kidney injury Etiology Hospitalization Epidemiology Mortality |
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