急性肾功能衰竭99例临床分析

目的探索急性肾功能衰竭的临床特点,为及早防治提供理论依据。方法分析99例急性肾功能衰竭患者的病因、疗效和预后。结果患者平均年龄45.2岁,其中>60岁组占24.6%。肾前性急性肾衰9例(9.1%),肾实质性急性肾衰86例(86.8%),肾后梗阻性急性肾衰4例(4.04%)。本组病死率7.1%。结论急性肾衰发病呈高龄化趋势,肾前性急性肾衰常因认识不足而被忽略,小管间质病变是肾实质性急性肾衰的主要原因,其中药物因素占首位。急性肾衰早期诊断有助于治疗,改善预后,提高存活率。

Clinical Analysis Acute Renal Failure: a Reporter of 99 Cases

Objective To explore the clinical feature of acute renal failure(ARF)and the management methods of diagnosis and treatment.Methods The etiology,incidence,treatment and prognosis of99cases with ARF were analyzed.Results The mean age of patients was45.2years old,and24.6%was elder than60years old.Among the all cases,prerenal ARF accounted for9.1%,renal parenchymal for86.8%,and postrenal for4.04%.The death rate was7.1%.Conclusions The occurrence of ARF showed aging tendency.The prerenal ARF was easily neglected due to the absence of full recognition.The drug-induced ARF is going to be a primary cause although the renal tubules mesenchyme pathological state was still the main cause for renal parenchymal ARF.The early diagnosis plays an important role in the treatment,improving prognosis and increasing survival rate.