本文总结了我院近年收治的80例尿毒症病例对其原发病因及死亡原因作一分析。原发病以慢性肾炎最多,后依次为肾硬化、狼疮肾、肾盂肾炎、尿路结石、糖尿病肾病、多囊肾和多发性骨髓瘤。死亡原因以代谢性酸中毒为冠,其次为感染、心衰、高血钾、心律失常、脑水肿、脑出血及心梗。 This article summarizes the 80 cases of uremia admitted to our hospital in recent years to analyze the primary cause and cause of death. The primary disease with the most chronic nephritis, followed by renal sclerosis, lupus kidney, pyelonephritis, urinary tract stones, diabetic nephropathy, polycystic kidney disease and multiple myeloma. The cause of death was metabolic acidosis, followed by infection, heart failure, hyperkalemia, arrhythmia, cerebral edema, cerebral hemorrhage and myocardial infarction.