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目的探讨老年急性肾衰竭的发病原因及临床特点。方法对2007年1月-2010年12月于我院住院治疗的60例老年急性肾衰竭进行回顾性分析。结果 29例保守治疗,死亡14例,病死率48%,28例接受血液透析治疗,死亡3例,需维持血液透析12例,腹透3例,死亡3例,病死率100%。结论老年人由于生理性肾小球丢失及合并高血压、糖尿病、肿瘤等多种基础疾病,使老年人易患急性肾衰竭,且肾功能抢救成功率低,病死率高,尽早发现并积极治疗有助改善预后。
Objective To investigate the etiology and clinical features of senile acute renal failure. Methods A retrospective analysis of 60 elderly acute renal failure hospitalized in our hospital from January 2007 to December 2010 was performed. Results Twenty-nine patients were treated conservatively with 14 deaths and a mortality rate of 48%. Twenty-eight patients underwent hemodialysis. Three patients died of hemodialysis. 12 patients underwent hemodialysis and 3 had peritoneal dialysis. Three patients died and the fatality rate was 100%. Conclusions Elderly people are susceptible to acute renal failure due to the loss of physiological glomerular and various underlying diseases such as hypertension, diabetes and cancer, and the success rate of renal function rescue and mortality are very high. Early detection and active treatment Help to improve the prognosis.