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目的了解儿童急、慢性肾功能衰竭的特点 ,提高对本病的诊治水平。方法对 2 9例儿童急、慢性肾功能衰竭的临床资料进行对比分析。结果急性肾功能衰竭患儿年龄 ( 8.18± 3.8)岁 ,病因以感染为多见 ;慢性肾功能衰竭患儿年龄 ( 11.82± 2 .7)岁 ,病因除感染外 ,先天性泌尿系统畸形、遗传代谢病多见。实验室检查结果显示两组酸碱平衡、离子代谢以及免疫功能紊乱方面差别明显 ,其他如两组血肌酐、尿素氮、血及尿β2 -MG等无统计学意义。结论儿童急、慢性肾功能衰竭各有其自己的临床特点 ,尽早诊断、积极治疗急性肾功能衰竭 ,各种泌尿系统疾病诊断后的持续治疗、定期随访 ,推广、开展连续性肾脏替代治疗对肾脏病的防治十分有益
Objective To understand the characteristics of children with acute and chronic renal failure, improve the diagnosis and treatment of the disease. Methods The clinical data of 29 children with acute and chronic renal failure were compared and analyzed. Results The age of children with acute renal failure (8.18 ± 3.8) years old, the cause of infection is common; Children with chronic renal failure (11.82 ± 2.7) years of age, in addition to the cause of infection, congenital urinary system malformations, genetic Metabolic disease more common. Laboratory tests showed that the two groups of acid-base balance, ion metabolism and immune dysfunction were significantly different, such as the two groups such as serum creatinine, urea nitrogen, blood and urine β2-MG no statistically significant. Conclusions Children with acute and chronic renal failure have their own clinical features, early diagnosis, active treatment of acute renal failure, a variety of urological diseases after the diagnosis of continuous treatment, regular follow-up, promotion, continuous renal replacement therapy for kidney Disease prevention and treatment is very helpful