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目的 探讨急性肾功能衰竭的临床病因、分型及治疗效果。方法 回顾性分析本院所有透析治疗的 88例急性肾功能衰竭 (ARF)病人的临床病历资料、肾衰原因、肾衰类型及治疗效果。结果 ARF有肾前性因素者达 78 14% ,单纯肾实质性病变占 2 0 4 5% ,肾后性原因仅占 1 14% ;药物引物的ARF占 2 0 4 5% ,以氨基糖甙类抗菌素多见 (13/ 18) ;病人死亡率为 30 97% ,完全治愈率仅为 37 5%。结论 注意血容量不足的症状与体征 ,及时扩容 ,保证肾供血充足可减少ARF的发生及药物性肾毒性的出现 ;需透析治疗的ARF病人治疗效果欠佳。
Objective To investigate the clinical etiology, classification and therapeutic effect of acute renal failure. Methods The clinical records of 88 patients with acute renal failure (ARF) undergoing dialysis in our hospital were retrospectively analyzed. The causes of renal failure, the types of renal failure and the therapeutic effects were retrospectively analyzed. Results There were 78.14% prerenal factors in ARF, 2045% in simple renal parenchymal lesions, and only 14% in postrenal causes. The ARFs of drug primers accounted for 2045%, with aminoglycoside More common antibiotics (13/18); patient mortality was 30 97%, the complete cure rate was only 37 5%. Conclusion Attention to insufficient blood volume of symptoms and signs, timely expansion, to ensure adequate renal blood supply can reduce the incidence of ARF and drug-induced nephrotoxicity; dialytic ARF patients treated poor results.