摘要
目的分析合并急性肾衰竭的多器官功能不全综合征患者的死亡危险因素。方法对51例合并急性肾衰竭的多器官功能不全综合征患者的临床资料进行回顾性分析,对相关的因素分别进行单因素和多因素分析。结果 51例患者中,治疗成功率为54.9%(28/51);单因素分析,患者的年龄、APACHEⅡ评分、血清肌酐峰值、器官功能不全的数目、是否合并少尿、及时血液滤过治疗、是否必须呼吸机支持、是否合并腹腔高压、是否抗凝治疗均可影响患者的预后(均为P<0.05)的因素。多因素分析显示,患者的年龄、APACHEⅡ评分、是否行血液滤过治疗、器官衰竭数目、血清肌酐水平、必须机械通气、腹腔高压、及时通便治疗、以及抗凝治疗均与患者的预后有关。结论合并急性肾衰竭的多器官功能不全患者的预后受多方面的影响,需针对不同患者进行个体化的处理。
【Objective】 To analyze the motility risk factors of the acute renal failure with multiple organ dysfunction syndrome(MODS) patients.【Methods】 The data of the 51 acute renal failure with MODS patients were collected and analyzed,and the associated factors were analyzed by univariate and multiple factors analysis.【Results】 The curative rate was 54.9%(28/51).The patient age,APACHE Ⅱ scores,serum creatinine,the dysfunction organs quantity,whether or not oliguria,blood filtration,ventilator,intraabdominal hypertension,and l anticoagulation therapy were the factors that affected the prognosis by univariate factors analysis(P 0.05).The patients age,APACHE Ⅱ scores,serum creatinine,the dysfunction organs quantity,whether or not oliguria,blood filtration,ventilator,intria-abdominal hypertension,and anticoagulation therapy were the factors affected the prognosis by multiple analysis(P 0.05).【Conclusions】 The prognosis of the acute renal failure with MODS patients could be affected by many factors,and the treatment should be based on the patient specific condition.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2013年第4期83-86,共4页
China Journal of Modern Medicine
基金
十堰市太和医院基金资助(No:2010D29)