急性肾功能衰竭54例临床分析

Clinical Analysis of 54 Cases of Acute Renal Failure

目的 :观察两种治疗方法对急性肾功能衰竭的治疗效果。方法 :将 5 4例患者分成药物治疗组和血液透析组 ;药物治疗组在积极治疗原发病的同时 ,应用利尿剂、血管扩张剂等综合治疗方法 ;血液透析治疗组则在药物治疗的基础上加用血液透析治疗。结果 :药物治疗组 38例中治愈 2 4例 ,死亡 1 4例 ,治愈率 6 3.1 6 % ;血液透析治疗组 1 6例中治愈1 3例 ,死亡 3例 ,治愈率为 81 .2 5 % ;两组治愈率比较 P<0 .0 1 ,有显著性差异。结论 :血液透析治疗已成为救治重症急性肾功能衰竭的重要措施之一 。

Purpose:To observe the curative effect of both therapeutic methods for acute renal failure.Methods:54 cases were devided into 2 groups:drug treated group and hemodidysis group.In the drug treated group,along with treatment for primary disease,the combined treatment with diuretics and vasodilators was used;in the hemodialysis group,on the basis of drug therapy,hemodialysis was added.Results:In the drug treated group,24 of 38 cases were cured,14 died,cure rate was 63.16%;in the hemodialysis group,13 of 16 cases were cured,3 died,cure rate was 81.25%;the comparison between cure rate of both groups showed significant difference ( P <0.01).Conclusion:The hemodialysis may markedly decrease the mortality of acute renal failure,being and important measure for treating severe acute renal failure.