老年慢性肾功能衰竭十年临床回顾  

A TEN-YEAR RETROSPECTIVE STUDY ON CHRONIC RENAL FAILURE IN ELDERLY PATIENTS

作　　者：张斌[1] 朱永奋[1] 王群献[1] 

机构地区：[1]华东医院肾内科,上海市200040

出　　处：《老年医学与保健》2001年第3期162-164,共3页Geriatrics & Health Care

摘　　要：目的分析老年慢性肾功能衰竭(CRF)的临床特点。方法收集1991～2000年间60岁以上的老年CRF住院患者76例进行临床分析研究,并与同期60岁以下的中青年组54例比较。结果老年CRF以继发性肾损害为主,其最常见的原发病是高血压病和糖尿病。与中青年组相比,老年组起病时临床表现不典型,且伴发病多、并发症重、病死率高。老年组病死率为25.0%,中青年组病死率为11.1%。结论老年CRF预后较中青年差。早期诊断,积极控制原发病,及时纠正使肾功能恶化的因素和预防并发症是治疗的关键。Objective To study the clinical characteristics of chronic renal failure(CRF)in the aged.Methods Seven-ty -six patients of CRF over 60years o ld hospitalized from 1991to 2000were analyzed retrospectively and comp ared clinically with54cases of 18-59years of age admitte d during the same period of time.Results Aged CRFs were chiefly due to secondary renal impairment.The most common primary diseases were hypertension and diab etes mellitus.The initial symptoms of aged CRFs were atypical.Compared to control group,it had more complications and usually associated with other disorders.The fatality in aged group was 25.0%,whereas 11.1%in the control group.Conclusions Prognosis of aged CRFs were worse than that in adult /middle age group.On managing the aged CRFs,it is important to make diagnosis early,to treat the primary disea ses properly,to rectify factors worsening the renal function promptly and to prevent com plications positively.[

关 键 词：老年人 慢性肾功能衰竭 CRF 临床表现 实验室检查 并发症 

分 类 号：R195[医药卫生—卫生统计学]