急性肾功能衰竭74例临床分析

Clinical analysis of 74 cases with acute renal failure

目的 分析急性肾功能衰竭 (ARF)患者的病因、死因及病死率 ,探讨影响预后的因素。方法采用回顾性分析法。结果 74例中死亡 34例 (4 6 % )。6 0岁以下 41例 ,死亡 1 5 (36 .6 % ) ;6 0岁以上 33例 ,死亡 1 9例 (5 7.6 % )。外科、妇产科原因导致 ARF 1 9例 ,死亡 6例(31 .6 % ) ;内科原因导致 ARF的有 5 5例 ,死亡 2 8例 (5 0 .9% )。血肌酐达 40 0μmol/ L以上者有 46例 ,死亡 1 7例 (36 .9% )。血肌酐 40 0μmol/ L以下者有 2 8例 ,死亡 1 7例 (6 0 .7% )。结论 ARF发病原因多样化 ,其预后与年龄、原发病以及其他重要脏器功能有关 。

Objective To study the disease and death causes of acute renal failure(ARF) and its affecting factors on prognosis.Methods The disease and death causes were analysed by retrospective case study.Results Out of 74 cases 34 died (46%).In 41 cases under 60 of age, 15 died (36.6%) and in 33 cases above 60 of age, 19 died (57.6%).19 cases of ARF were caused by surgical and gynecotokological factors with 6 cases (31.6%) ending in death;55 cases were caused by internal factors with 28 cases (50.9%) ending in death;46 cases had blood creainine above 400 μmol/L with mortality of 17 cases (36.9%) and 28 cases had blood creainine below 400 μmol/L with mortality of 17 cases (60.7%).Conclusion There are various causes for ARF. Its prognosis is closely related with the patients' age,their primary diseases as well as the functions of other organs,while the lesion degree of renal function is not the index on which to base the prognosis.