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目的探讨海员慢性肾功能衰竭(chronic renal failure,CRF)的主要病因及次要病因,统计海员CRF与年龄的关系及贫血和高血压的发病率。方法选取确诊为CRF的189例患者,并从患者病历中收集年龄、病因及功能诊断、血压、血常规、肾功能、肌酐清除率等资料进行统计分析。结果慢性肾炎发病率最高(41.3%),其次为高血压肾病(16.9%)、梗阻性肾病(15.3%)和糖尿病肾病(14.8%)。多数患者合并贫血(91.0%)和高血压(72.5%)。结论海员慢性肾功能衰竭病人的最主要病因为慢性肾小球肾炎,其次为高血压肾病、梗阻性肾病和糖尿病肾病。
Objective To investigate the main etiopathogenisis and secondary causes of sever chronic renal failure (CRF) in seafarers. The relationship between seafloor CRF and age and the incidence of anemia and hypertension were analyzed. Methods A total of 189 patients with CRF were selected and analyzed by age, etiology and function diagnosis, blood pressure, blood routine, renal function, creatinine clearance and other data from the patient records. Results The incidence of chronic nephritis was the highest (41.3%), followed by hypertensive nephropathy (16.9%), obstructive nephropathy (15.3%) and diabetic nephropathy (14.8%). Most patients had anemia (91.0%) and hypertension (72.5%). Conclusion The main cause of chronic renal failure in seafarers is chronic glomerulonephritis, followed by hypertensive nephropathy, obstructive nephropathy and diabetic nephropathy.