小儿急性肾功能衰竭23例临床分析

Clinical Analysis of 23 Cases of Acute Renal Failure in Children

本文对23例小儿急性肾功能衰竭的临床特征及治疗方法进行了分析。经采取利尿、液体疗法、透析疗法、手术及中医中药等辅助治疗措施后23例中治愈4例,死亡5例、病死率为21％。作者认为病死率较低的原因是:早诊断,早治疗;早期正确使用速尿:警惕电解质紊乱多样化表现并及时处理;及时处理ARF症状恶化的先兆:非少尿型ARF预后较好及遵循ARF时用药原则。

In this report we analyse clinical characteristic feature and treatment of 23 children with ARF. The treatment includes:① Use of diuretic agents.② Fluid therapy: fluid balance can usually be maintained by replacing insensible losses and urine volume the day before.③ Dialysis therapy.④ Surgical therapy.⑤ Traditional therapy and so on. Our department has admitted 23 children with ARF. The mortality is 21.8%. The causes of the decrease of mortality are:① early diagnosis, early treatment. ② early rational use Frusemide.③ be on guard against complicated matters such as electrolytic disorder and irrational treatment of ARF.④ immediate management of aurae of symptomic deterioration. ⑤ prognosis of nonoliguria ARF is better.⑥ follow the medicinal principle of ARF.