| 肾活检在老年急性肾衰竭临床应用的探讨 |
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| 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. |
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| 作者姓名： | 陈婷 许勇芝 刘华锋 黄志清 陶静莉 |
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| 作者单位： | 广东医学院附属医院肾病研究所,湛江,524001 |
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| 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。
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| 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 |
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| 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. |
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| Authors: | CHEN Ting XU Yongzhi LIU Huafeng Institute of Nephrologic Affiliated Hospital of Guangdong Medical College Zhanjiang |
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| Institution: | CHEN Ting,XU Yongzhi,LIU Huafeng,et al Institute of Nephrologic,Affiliated Hospital of Guangdong Medical College,Zhanjiang(524001) |
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| 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... |
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| Keywords: | Acute renal failure Senile patients Automatic renal biopsy |
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