医院获得性急性肾功能衰竭原因分析及预防对策  

Analysis of the causes of the hospital-acquired ARF and the preventive method

作　　者：杨沐[1] 刁秀竹[1] 黄业华[1] 柴树人[1] 

机构地区：[1]安徽医科大学附属省立医院,安徽省立医院肾内科,合肥230001

出　　处：《中国临床保健杂志》2005年第5期406-407,共2页Chinese Journal of Clinical Healthcare

摘　　要：目的分析医院获得性急性肾功能衰竭(HA-ARF)的各种易患因素,探讨其治疗及预防的特殊性,以提高HA-ARF的抢救成功率。方法回顾性分析在我院诊治及进行血液净化的HA-ARF 56例,其中进行血液透析30例,连续性静脉-静脉血液滤过(CVVH)5例,腹膜透析(CAPD)3例,内科保守治疗18例。结果所有患者均经积极治疗原发病、抗感染、输血、补液、利尿、控制血压等对症治疗,肾功能完全恢复32例(57%),部分恢复11例(20%),不能恢复需维持性血液透析5例(9%),死亡5例(9%),中途放弃治疗3例(5%)。结论HA-AHF病情变化快,早期积极治疗,根据病情需要选择不同的血液净化疗法可提高治疗成功率。Objective To analyze the induced factors of Hospital-Acquired acute renal foilure（ARF） and investigate the speeitieation of this kind treatment and prevention. Methods 56 eases who had hospited acquired ARF were analysed retrospectively. Among them,30 eases underwent hemodialysis（HD）, and 5 eases underwent continuous venous-venous hemofiltration（CVVH）, 3 eases underwent peritoneal dialysis, 18 eases underwent routine therapy. Results All patients have received treatment of original disease, anti-inflammatory therapy, transfusion, intravenous infusion and blood pressure control, 32（57% ）patients got complete remission, 11 （20%）patients got nearly normal, 5 patisents needed renal replacement therapy, 5 patients died of multiple organ failure resulted from basal disease. Conclusion The clinical findings of FIA-ARF with the patients are complicated and rapidly developed, immediate and proper blood purification according to their disease state miv.ht reduce the complieations.

关 键 词：肾功能衰竭 急性 血液透析滤过 腹膜透析 

分 类 号：R692.5[医药卫生—泌尿科学]