血液透析治疗急性肾衰45例临床分析

Clinical analysis of hemodialysis therapy for acute renal failure in 45 cases

目的评价血液透析(hemodialysis,HD)治疗急性肾功能衰竭(acuterenalfailure,ARF)的临床疗效。方法回顾分析近3年来应用血液透析治疗45例ARF的临床资料。结果全组45例,治愈31例(68.9%),好转7例(15.6%),死亡7例(15.6%)),并发症:低血压14例次,穿刺部位渗血或血肿11例次,热原反应6例次,透析器阻塞1例。结论血液透析是治疗ARF的有效措施,能明显缓解病情,提高ARF患者的生存率,减少并发症的发生。

[Objective] To evaluate the clinical efficacy of hemodialysis （HD） in treatment of acute renal failure （ARF）. [Methods] The clinical data of 45 patients with ARF, who underwent hemodialysis in recent 3 years, were retrospectively analyzed. [Results] Of 45 cases, 31（68.9%） cases recovered, 7 （15.6%） were alleviated and 7 （15.6%） died. Complications included as follows： low blood pressure occurred in 14 cases/frequency, haematoma or blood penetration of puncture position in 11 cases/frequency, pyrogenic effect in 6 cases/frequency and dialyzer obstruction in 1 case. [ Conclusions ] Hemodialysis therapy, which can be applied to control ARF in evidence, improve the survival rate of patients and reduce the complication frequency, is an effective measure in treatment of acute renal failure.