创伤后急性肾衰竭的临床诊疗分析

Diagnosis and Treatment of Acute Renal Failure after Trauma

目的分析创伤后急性肾衰竭的发病原因、治疗措施和效果。方法回顾性分析2010年3月—2012年6月本院收治的34例创伤后急性肾衰竭患者的临床资料,针对患者发病原因、临床治疗和预后效果进行分析。结果患者治疗前Scr和BUN水平分别为(699.4±321.1)μmol/L、(32.3±12.8)mmol/L,治疗后分别为(415.2±234.3)μmol/L、(24.2±13.0)mmol/L,治疗前后比较差异有统计学意义(P<0.05)。早期透析与晚期透析各项评分及病死率比较,差异均有统计学意义(P<0.05)。结论多器官功能不全和失血性休克是导致创伤后急性肾衰竭的主要病因,临床治疗期间加强对二者的预防和治疗十分重要。早期透析治疗对患者临床症状的改善明显。

Objective To study the cause,treatment and effect of acute renal failure after trauma.Methods 52 cases of acute renal failure after trauma from Mar. 2010 to Jun. 2012,to make analysis for aetiological agent,treatment and prognosis in patients.Results The results of Scr,BUN before treatment were （699.4±321.1）μmol/L,（32.3±12.8）mmol/L,after treatment were（415.2±234.3）μmol/L,（24.2±13.0）mmol/L,the difference was statistically significant（P＜0.05）.The score and mortality of early dialysis and late dialysis were compared,the difference was statistically significant（P＜0.05）.Conclusion The main course of acute renal failure after trauma are MODS and hemorrhagic shock,it′s very important to strengthen the prevention and teeatment during the period of clinical treatment.Clinical sign of patients are improved obviously in treatment of early dialysis.