糖尿病合并急性肾衰竭63例临床分析

Diabetes mellitus with acute renal failure:clinical analysis of 63 cases

目的:总结糖尿病合并急性肾衰竭(ARF)的临床特点和诊治经验,提高诊疗水平。方法:回顾性调查分析我院内分泌科及肾内科2002年1月～2010年1月收治的糖尿病合并急性肾衰竭63例的临床资料。结果:糖尿病合并急性肾衰竭以中老年病人多见,多为急性肾前性肾衰竭,多合并有感染、糖尿病各种急慢性并发症以及高血压、心脑血管疾病等。经胰岛素、补液、抗感染以及肾脏替代治疗后,54例血糖下降、肾功恢复正常,病情稳定出院,9例死亡。结论:糖尿病患者应积极防治各种能导致ARF的致病因素,早期诊断ARF,有效治疗,防治多器官功能衰竭等是降低病死率的关键。

Objective：To summarize the clinical features,diagnasis and treatment of diabetes mellitus with acute renal failure（ARF）,in order to improve the level of diagnosis and treatment.Methods：The clinical data of 63 cases of diabetes mellitus with acute renal failure in our hospital endocrinology and renal medicine from January 2002 to January 2010 were analyzed in this retrospectine study.Results：Diabetes mellitus with acute renal failure often occurred in middle-age and old-age patients.Most of them were acute prerenal renal failure,and more complicated with infection,a variety of acute and chronic complications of diabetes mellitus and hypertension,cardiovascular and cerebrovascular diseases.By insulin,rehydration,anti-infection and renal replacement therapy,54 cases with decreased blood glucose,renal function returned to normal,stable condition and discharged,9 cases died.Conclusions：Diabetes mellitus should actively combat all kinds of pathogenic factors can lead to ARF,early diagnosis of ARF,effective treatment,prevention and treatment of multiple organ failure and so is the key to lowering mortality.