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肾活检在老年急性肾衰竭临床应用的探讨
引用本文:陈婷,许勇芝,刘华锋,黄志清,陶静莉. 肾活检在老年急性肾衰竭临床应用的探讨[J]. 中国中西医结合肾病杂志, 2011, 12(10): 875-877
作者姓名:陈婷  许勇芝  刘华锋  黄志清  陶静莉
作者单位:广东医学院附属医院肾病研究所,湛江,524001
摘    要:
目的:探讨肾活检术对老年急性肾衰竭的应用价值,提高老年急性肾衰竭的诊治水平。方法:66例不明原因老年急性肾衰竭均行实时超声引导肾自动穿刺活检术,分析其成功率、并发症,总结肾活检后诊断和治疗的修正率。结果:66例肾活检取材均成功;其中取材不良4例(6.1%),取材良好62例(93.9%);3例出现轻度并发症(4.5%),其中肉眼血尿2例,肾周血肿1例,未出现严重并发症;66例中病因误诊19例,26例治疗方案有较大调整。结论:老年急性肾衰竭患者行经皮肾脏穿刺活检术安全且成功率高;相当部分老年急性肾衰竭病因被误诊,对不明原因老年急性肾衰竭应及时行肾活检术,以免延误诊治。

关 键 词:急性肾衰竭  老年  肾活检术

Clinical Evaluation of Automatic Renal Biopsy to Senile Patients with Acute Renal Failure
CHEN Ting,XU Yongzhi,LIU Huafeng,et al Institute of Nephrologic,Affiliated Hospital of Guangdong Medical College,Zhanjiang. Clinical Evaluation of Automatic Renal Biopsy to Senile Patients with Acute Renal Failure[J]. Chinese Journal of Integrated Traditional and Western Nephrology, 2011, 12(10): 875-877
Authors:CHEN Ting  XU Yongzhi  LIU Huafeng  et al Institute of Nephrologic  Affiliated Hospital of Guangdong Medical College  Zhanjiang
Affiliation:CHEN Ting,XU Yongzhi,LIU Huafeng,et al Institute of Nephrologic,Affiliated Hospital of Guangdong Medical College,Zhanjiang(524001)
Abstract:
Objective:To evaluate the clinical evaluation of automatic renal biopsy to senile patients with acute renal failure(ARF).Methods:The success rate and related complications were analyzed in 66 senile patients with ARF.The clinical diagnosis and therapy after renal biopsy were revised.Results:All patients were technically successful.The qualities of the specimens were as follows:4 cases(6.1%) failed for histological evaluation,and 62 cases(93.9%) very well qualified.Complications occurred in 7 cases(10.6%).Am...
Keywords:Acute renal failure Senile patients Automatic renal biopsy  
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