60例慢性肾功能不全患者的临床分析

Clinical Analysis of 60 Patients with Chronic Renal Insufficiency

目的了解慢性肾功能不全(CRF)的患病情况及其相关因素,以探讨其临床意义。方法对60例CRF住院病例进行临床分析。结果 35例短期应用促红细胞生成素;50例行血液透析,5例因经济困难未作透析,透析生存时间最长25个月,院内死亡4例;肾移植10例,成功7例,失败3例,最长存活时间已达6年以上;顽固性心力衰竭6例,胃肠道出血5例,并发脑血管意外1例;3例自动出院。结论加强对慢性肾病的早期防治,实施慢性肾脏病一体化治疗以及在使用西医治疗的同时应用中医药辨证治疗。

Objective To understand the prevalence of chronic renal insufficiency and its related factors in order to explore its clinical significance.Methods 60 patients with chronic renal failure patients hospitalized for clinical analysis.Results 35 patients with short-term application of erythropoietin;50 regular hemodialysis,5 cases of financial hardship due to the absence of dialysis,dialysis,the longest survival time of 25 months,4 patients died in hospital;kidney transplantation in 10 cases,7 cases of success,failure 3,the longest survival time reached more than 6 years;6 patients with refractory heart failure,gastrointestinal bleeding in 5 cases,1 case of cerebral vascular accident;3 patients were discharged.Conclusion Early prevention and treatment of chronic kidney disease,the implementation of integrated treatment of chronic kidney disease and treatment in the use of Western medicine,while application of differentiation therapy.