影响肾综合征出血热急性肾衰少尿期恢复的因素  

The Factor Relateted to the Prognosis in HFRS Patients with ARF Oliguresis stay.

作　　者：刘艳红[1] 王军红[1] 陈涛[1] 

机构地区：[1]河南省漯河市中心医院肾内科,462000

出　　处：《医学研究杂志》2006年第9期67-69,共3页Journal of Medical Research

摘　　要：目的 探讨影响出血热病人急性肾衰少尿期预后的因素及血液透析在出血热病人中的应用时机。方法 回顾性分析1996-2004年我院住院确诊为肾综合征出血热并接受血液透析治疗的病人46例，分为顺利组19例、延迟组7例、死亡组11例，比较三组入透时的14种临床因素和常规检验项目。结果 存活组两组间中下列因素年龄、血小板、透析前血清清蛋白、透析次数和少尿天数差异有统计学意义，其余因素如入透时间、入院时血常规中白细胞、血红蛋白、肾功能电解质指标、并发症的发生率差异均无显著性。死亡组年龄较之存活组偏轻壮年，死亡组均于入院后3日内死亡，仅透析1-2次，所以透析次数和入院少尿天数与存活组均无可比性，但透前急性并发症的发生率为100％，较顺利组差异有显著性意义。结论 入透时间对急衰的恢复无明显影响，透前预防急性并发症才是决定预后的关键因素。Objective To investigate the factor relateted to the prognosis in HFRS patients with ARF oliguresis stage and the applied chance of hemodiaglysis in HFRS patients. Methods 46 cases of HFRS patients with ARF, with hemodiaglysis applied hospitalized in the department of infectious disease of Luohe centre hospital during 1996 to 2004 were retrospectively investigated and the factor related to the prognosis were analyzed,divided into three groups：successful group ,delayed group, died group, and 14 sorts of clinical factors and common lab test items compared. Results Between live groups, the following factors are statistics value,such as the age, platelet,serum albution before HD, frequency of HD and the days of oliguresis stage, the difference of the other factors such as chance of HD,laboratory indicators and complication occuring rate of are no notable. The age of died group is in one＇s prime, died in 3 hospitalized days, given HD only 1 - 2 times, so, chance of HD and days of oliguresis stage were without comparing value, but, the rate of acute complication is 100 percent,the difference is notable. Conclusions The influence of HD time is no notable,and, to prevent acute complication before HD is the key factor relateted to the prognosis.

关 键 词：肾综合征出血热(HFRS) 血液透析(HD) 急性肾衰少尿期 并发症 预后 

分 类 号：R512.8[医药卫生—内科学]