118例慢性肾功能衰竭（CRF）死亡的高危因素及防治措施的探讨  

A Study On High Risk Factors And Preventive Therapeutic Measure In 118 Deaths Caused By CRF

作　　者：郑亚莉[1] 王革[1] 陈虹[1] 

机构地区：[1]宁夏医学院附属医院肾内科,宁夏干部疗养院

出　　处：《宁夏医学杂志》1996年第2期80-82,共3页Ningxia Medical Journal

摘　　要：本文对１１８例死于ＣＲＦ病例进行分析，病死率２４．１％。病死率高峰在３１～４０岁年龄组（２６．３％）。死亡的原发病主要是慢性肾炎（６３．６％），狼疮性肾炎（１４．４％）和慢性肾盂肾炎（５．１％），其它如高血压肾病、糖尿病肾病等占１６．９％。死亡原因主要是急性左心衰（２９．７％）和尿毒症脑病（２７．９％）。比较此两种死因的病死率：非透析组明显高于透析组（Ｐ＜０．０５），说明透析疗法可以降低病死率。同时还分析了许多诱发和促使死亡的危险因素，发现多数是可逆因素，如能及时有效防治，可以降低其病死率。This article reviewed 118 cases whodied of chronic renalfailure (CRF).The mortality ofCRF was 24.1% with high peak from 31to 40 yearsold(26.3%).The primary diseases leading to deathwere mainly chronic glomerulonephritis,SLE-N andchronic pyelonephritis.The main causes of the deathwere acute left heart failune (29.7%)and the cere-bropathy of uremia(27. 9%).The mortality in the non-hemodialysis group was significantly higher than thatin the hemodial vsiq one in above two reasons(P<0. 05).It indicated that the hemodialysis could reducethe mortality.This study also analysed high risk factorsleading to death.Most of high risk factors were foundreversible,If they were effectively prevented and treat-ed as early as possible,the mortality would be reduced.

关 键 词：尿毒症 血液透析 肾功能衰竭 死亡 防治 

分 类 号：R692.5[医药卫生—泌尿科学] R695[医药卫生—外科学]