急性肾损伤56例临床分析  

Clinical analysis of 56 cases with acute kidney injury

作　　者：曹磊[1] 欧红芹[1] 罗红[1] 

机构地区：[1]安徽省蚌埠市第三人民医院肾脏内分泌科,233000

出　　处：《蚌埠医学院学报》2012年第6期655-657,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨急性肾损伤(acute kidney injury,AKI)的发病情况、致病原因及治疗措施等,为明确诊断、及早防治提供依据。方法:对56例AKI患者的病因、临床表现、病变程度以及治疗和预后等进行回顾性分析。结果:不同病因AKI患者的转归差异无统计学意义(P>0.05),AKI分级越高病死率越高(P<0.05),透析和非透析治疗的病死率相似(P>0.05)。结论:AKI的预后与其病因和分级关系密切,透析治疗对AKI患者的预后无显著改善,AKI早期诊断、及早治疗,有助于改善患者预后,提高存活率。Objective：To investigate the incidence, causes and treatment measures of acute kidney injury（AKI） and provide the basis for early prevention. Methods ： The causes, clinical manifestations, severity and treatment and prognosis of 56 cases were retrospectively analysed. Results ：There were no significant difference in transitions of patients with the different causes ,higher mortalities in cases with higher grade of AKI （ P 〈 0.05 ）, and the similar mortalities in cases with dialysis and non-dialysis （ P 〉 0.05 ）. Conclusions： The recovery of AKI is closely related to its causes and classification. The case treated with dialysis is not obviously improved. The early diagnosis and treatment of AKI can improve recovery and survival rate.

关 键 词：肾损伤 肾功能衰竭 感染 药物 预后 

分 类 号：R692.5[医药卫生—泌尿科学]