急性肾功能衰竭230例临床分析

Analysis of 230 Cases of Acute Renal Failure

目的:探讨急性肾功能衰竭(ARF)的病因与死亡率之间的关系。方法:对1984～2003年间收治的230例ARF病人资料进行回顾性分析。根据原发病将病人分为3组:①肾前性ARF(肾缺血);②肾性ARF;③肾后性ARF,分析其病因构成及死亡率。结果:近20年来收治的ARF患者有上升趋势,肾前性病因是引起ARF的主要原因,所致ARF死亡率高。结论:积极防治原发病是降低ARF死亡率的关键。

Objective:To evaluate the relationship between etiology and prognosis of acute renal failure (ARF). Methods:230 cases of ARF treated in our hospital were divided into ①pre-renal,②renal and ③post-renal groups. The etiology and mortality of these patients analyzed retrospectively. Results:The number of ARF patients tended to increase with higher proportion of elderly patients during the last twenty years. However, there is no significant decrease in the mortality of ARF pre-renal factors constituted the major causes of ARF. Conclusions: Treatment of underlying diseases is very important for reducing the mortality of ARF.