老年急性肾功能衰竭47例临床分析  

Clinical Aualysis of 47 Cases with Senile Acute Renal Failure

作　　者：曾剑[1] 

机构地区：[1]德阳市第二人民医院,四川德阳618000

出　　处：《现代临床医学》2009年第4期266-267,共2页Journal of Modern Clinical Medicine

摘　　要：目的:探讨老年急性肾功能衰竭的病因、并发症、转归及影响预后的因素。方法:回顾分析我院收治的老年急性肾功能衰竭患者47例。结果:老年急性肾功能衰竭最常见的病因为血容量不足、感染、药物、梗阻,常见的并发症有酸中毒、高血钾、败血症、多器官功能衰竭(MODS),影响预后因素有血容量不足、感染、多器官功能衰竭及是否合并有基础疾病。结论:血容量不足、感染、药物、梗阻等是老年急性肾功能衰竭的病因。加强原发病治疗,及早发现,及早治疗,及时处理并发症,可明显改善老年急性肾功能衰竭患者的预后。Objective：To assess the etiology and prognostic factor of the old ARF patients. Methods：47 old ARF patients were retrospectively analyzed the etiology, complications, outcomes and prognostic factors. Results：The primary etiologies were insufficient blood volume, infection, drugs, obstruction. The primary complications were acidosis, hyperkalemia, septicemia and MODS. The major prognostic factors were insufficient blood volume, infection, MODS as well as whether to merge the foundation disease. Conclusion：Insnfficient blood volune, infection, drugs, obstruction are the etiologies of old ARF. Strengthening the treatment of primary disease, early detection, early treatment, timely processing of complications, early hemodialysis treatment can significantly improve the prognosis of old ARF.

关 键 词：老年急性肾功能衰竭 病因 预后 治疗 

分 类 号：R692.5[医药卫生—泌尿科学]