急性肾功能衰竭58例临床分析  

Clinical analysis of 58 cases of acute renal failure

作　　者：热依汗.西力甫 王梅红[1] 

机构地区：[1]新疆医科大学第一附属医院肾病科,新疆乌鲁木齐830054

出　　处：《新疆医科大学学报》2003年第1期43-44,共2页Journal of Xinjiang Medical University

摘　　要：目的:观察血液透析治疗急性肾功能衰竭的有效性和安全性。 方法 :对 5 8例急性肾功能衰竭患者进行血液透析治疗 ,并对原发病及其预后、透析反应、透析时机选择等进行分析。结果 :5 8例患者中 5 3例肾功能完全恢复正常 ,治愈率为 91.4 % ;3例死亡 ,病死率为 5 .2 % ;2例转为慢性肾功能衰竭 ,未治愈率 3.4 %。 结论:引起急性肾功能衰竭的病因中 ,内科疾病占第一位 (43.1% )。各种原因引起的急性肾功能衰竭 ,一旦确诊应进行透析治疗。透析中出现透析反应的占 31.6 % ,对多脏器功能衰竭的患者及治疗效果差的患者 ,应进行血透。Objective: To observe the effect and safety of hemodialysis in treatment of acute renal failure, and analyze primary diseases, prognosis, opportunity. Methods: 58 acute renal failure patients performed hemodialysis. Results: Within 58 patients 53 patients renal functions completive returned to normal levels. The cure rate was 91.3%, and the fatality rate was 5.1%. Conclusion: Among the causes of acute renal failure, the diseases of internal medicine occupied the first,which was 43.1%. Acute renal failure caused by various reasons should perform hemodialysis. Hemodialysis reaction was 31.6%. Old patients with multiple organic failure should perform hemodialysis but the effect of hemodialysis is usually poor to them.

关 键 词：急性肾功能衰竭 血液透析 透析反应 

分 类 号：R692.5[医药卫生—泌尿科学] R459.5[医药卫生—外科学]