窒息致新生儿急性肾损伤的早期诊断

Early diagnosis of neonatal acute kidney injury induced by asphyxia

目的探讨窒息导致新生儿急性肾功能损伤(AKI)的早期诊断标准。方法对本院2011年1月～2012年4月诊断为AKI的52例窒息新生儿的临床资料进行回顾性分析。结果 52例新生儿在早期做出诊断36例,确诊后及时给予有效的治疗,其中,治愈34例,死亡2例,病死率为5.56%。16例在未在早期做出诊断,死亡5例,死亡率为31.25%。早期诊断与未早期诊断患儿死亡率差异具有统计学意义(P<0.05)。结论对新生儿急性肾损伤的早期诊断、治疗可提高患儿的存活率。

Objective To explore the early diagnostic criteria of neonatal acute kidney injury （AKI） induced by as- phyxia. Methods The clinical date of 52 cases of neonates diagnosed with neonate asphyxia in our hospital from Jan- uary 2011 to April 2012 was retrospectively analyzed. Results Thirty six cases had been early diagnosed and got effec- tive treatment in time for acute renal failure, 34 cases were cured, 2 cases died, fatality rate was 5.56%. Sixteen cases had not got early diagnosis, 5 cases died, mortality was 31.25%. There was statistical difference between the mortali- ties of neonates who got and not got early diagnosis （P 〈 0.05）. Conclusion Early diagnosis and treatment can improve the survival rate of neonates in treating acute kidney ir^iury.