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为探讨严重急性呼吸综合征(SARS)并发肾脏损害的临床特点及有效防治措施,对220例SARS患者的临床资料进行回顾性分析。发现220例SARS患者中有14例并发肾脏损害,发生率为6.4%,其发生原因可能与高龄、重症、合并基础疾病、长时间使用大剂量的广谱抗生素、营养支持力度不够,以及未能及时纠正水、电解质和酸碱平衡失调等有关。经连续、迅速和系统的治疗后,8例(57.2%)患者的肾功能恢复正常,1例(7.1%)好转,5例(35.7%)死亡。提示SARS并发肾脏损害与多种因素有关,综合治疗后预后良好。
To investigate the clinical features and effective prevention and treatment of severe acute respiratory syndrome (SARS) complicated with renal damage, the clinical data of 220 SARS patients were retrospectively analyzed. Found that 220 cases of SARS patients with renal damage in 14 cases, the incidence was 6.4%, its cause may be related to the elderly, severe, with underlying diseases, prolonged use of large doses of broad-spectrum antibiotics, nutritional support is not enough, and failed Timely correct water, electrolyte and acid-base balance disorders and so on. Renal function returned to normal in 8 patients (57.2%) after continuous, prompt and systematic treatment, with 1 (7.1%) improved and 5 (35.7%) dying. Prompt syndrome of renal damage associated with SARS and a variety of factors, prognosis is good after comprehensive treatment.