139例急性肾功能衰竭的病因分析

目的：探讨住院患者急性肾功能衰竭（ARF）的临床病因。方法：回顾性分析139例ARF患者的临床资料,探讨其病因、肾衰类型及危险因素。结果：139例ARF患者中,肾前性90例,肾性37例,肾后性12例。其中,60岁以上的老年人73例,占52.5%。引起ARF的根本病因中,感染、心衰及创伤为引起ARF的主要病因。结论：注意有效血容量不足的症状及体征、及时扩容及控制感染可以减少ARF的发生。同时,60岁以上老年人仍是高危人群,应重在预防。

Analysis of Etiological Factor for 139 Cases of Acute Renal Failure

Objective： To assess the clinical etiological factor for acute renal failure. Methods： Review the clinical data of 139 case of acute renal failure, Approach to the etiological factor, the type of renal failure and risk factor. Results： In the 139 case of acute renal failure, the case of prerenal, renal and postrenai are separately 90,37,12. The case number of aged above 60 years old is 73. The primary etiological factor for acute renal failure is separately infection, congestive heart failure and trauma. Conclusion： It may reduce the incidence rate of acute renal failure by attention to the symptom and physical of insufficient effective blood volume, fluid expansion and control infection in time. The aged above 60 years old are high risk group.