急性肾功能衰竭45例预后分析  

Prognosis Analyzed on 45 Cases of Acute Renal Failure

作　　者：王彩虹[1] 赵建民[1] 

机构地区：[1]赤峰市医院肾内科,内蒙古赤峰024000

出　　处：《内蒙古医学杂志》2006年第6期520-522,共3页Inner Mongolia Medical Journal

摘　　要：目的：了解急性肾功能衰竭（ARF）患者预后及其影响因素。方法：回顾性分析我院2003年6月--2005年8月ARF患者45例。结果：45例ARF患者死亡8例，肾功能恢复26例。其中大于60岁组死亡率41．67％，小于60岁组死亡率10％。25例少尿型ARF死亡7例。13例高分解代谢死亡5例，9例伴多脏器功能障碍综合征（MODS）的ARF死亡8例，1例伴全身炎症反应综合征（SIRS）死亡，18例血透组死亡3例，27例非血透组死亡5例。多种因素分析显示年龄、伴MODS、高分解代谢、少尿、治疗方式与死亡关系密切。结论：ARF死亡率高，年龄、伴MODS、少尿、高分解代谢、治疗方式是影响ARF预后的重要因素。Objective. To study the prognosis and affect factor of the ARF patients. Methods： 45 ARF patients from June. 2003 - Aug. 2005 were retrospectively analyzed. Results： Of all the 45 patients, 8 cases died and 26 cases recouered completely, The mortality rate of patients in more than 60 years group and lower than 60 years group were respectively 41.67 %, 10 %. 7 of 25 died of oliguria ARF, Hypercatabolism （38.46 % ）, MODS （88.9 % ）, one case was died of SIRS, The death rate in hemodialysis was 16.7 %, no - hemodialysis （18.52 % ）. We used multiple regression analysis to study the factors which correlated with death rate and found that age, patient with MODS, hypercatabolism, Oliguria, mode of treatment were the main factors. Conclusions： The aged patient with MODS and hypercatabolism, oliguria and mode of treatment are the main factors which affect the outcome of ARF patients.

关 键 词：肾衰竭 急性 预后 临床研究 

分 类 号：R692.5[医药卫生—泌尿科学]