SARS并发肾脏损害的临床分析  

Renal Damage Complicated with Atypical Pneumonia

作　　者：贾强[1] 张建[1] 王香平[1] 王力红[1] 刘佑琴[1] 魏嘉平[1] 冯明[1] 王育琴[1] 张泰昌[1] 李宗信[1] 王克杰[1] 续大田[1] 李坤成[1] 尹建国[1] 韩玫[1] 王立[1] 杨强[1] 丁秀娟[1] 徐玲[1] 

机构地区：[1]首都医科大学宣武医院SARS专家组

出　　处：《首都医科大学学报》2003年第4期441-443,共3页Journal of Capital Medical University

摘　　要：为探讨严重急性呼吸综合征(SARS)并发肾脏损害的临床特点及有效防治措施,对220例SARS患者的临床资料进行回顾性分析。发现220例SARS患者中有14例并发肾脏损害,发生率为6.4%,其发生原因可能与高龄、重症、合并基础疾病、长时间使用大剂量的广谱抗生素、营养支持力度不够,以及未能及时纠正水、电解质和酸碱平衡失调等有关。经连续、迅速和系统的治疗后,8例(57.2%)患者的肾功能恢复正常,1例(7.1%)好转,5例(35.7%)死亡。提示SARS并发肾脏损害与多种因素有关,综合治疗后预后良好。The objective to explore the clinical features of renal damage complicated with atypical pneumonia and its effective prevention and treatment.Altogether220cases with atypical pneumonia were analyzed retrospectively.Results:14cases of them were found to have renal damage,with the incidence of6.4%.The main causes of renal damage might be related to factors,such as,old age,severity of diseases,underlying diseases,long period use of large dos age of broad spectrum antibiotics,insufficient nutritional support to the patients with decreased nutritional intake,and fail to correct the disorder of fluid,electrolyte and acid-base balance.After continuous,fast and systematic treatment,8cases(57.2%)recovered completely,1case(7.1%)turned better,and5cases(35.7%)died.Conclusion:Renal damage complicated with atypical pneumonia is correlated with multiple factors.Comprehensive treatment can result in better prognosis.

关 键 词：并发症 肾脏损害 严重急性呼吸综合征 传染性非典型肺炎 SARS 

分 类 号：R563.1[医药卫生—呼吸系统] R692[医药卫生—内科学]