慢性肾衰竭患者180例的病因与转归分析

Analysis of etiology and outcome of chronic renal failure patients

目的:探讨慢性肾衰竭患者的发病病因及转归。方法:对180例慢性肾衰竭患者的病因、疾病分期、并发症、治疗方式及转归预后进行回顾性分析比较。结果:慢性肾衰竭住院患者病因依次为慢性肾小球肾炎为主(43.3%)、高血压肾病(22.2%);主要病情分期尿毒症期(60.6%)、肾衰竭期次之(15.6%);并发症肾性贫血(72.2%)、肾性高血压(67.8%);治疗方式血液透析(51.1%)、内科治疗(41.7%);转归为:目前存活147例,死亡31例,死亡原因以心功能衰竭为主(32.3%)。结论:慢性肾衰竭患者的病因主要由慢性肾小球肾炎和高血压肾病引起,其转归尚不理想。

Objective： To discuss etiology and outcome of chronic renal failure. Methods： The causes, stages, complica-tions, treatments, and outcome and prognosis of 180 cases with chronic renal failure were retrospectively analyzed and compared. Re-sults：The main causes of the inpatients with chronic renal failure were glomerulonephritis （43. 3%） and hypertensive nephropathy （22. 2%）. The main stages were uremia （60. 6%） and renal failure （15. 6%）. The complications were renal anemia （72. 2%） and renal hypertension （67. 8%）. The treatment methods were hemodialysis （51. 1%） and medical treatment （41. 7%）. The outcomes were147 cases survived and 31cases died, and the main death reason was heart failure. Conclusions：Chronic renal failure patients is mainly caused by chronic glomerulonephritis and hypertensive nephropathy, and the outcome is not ideal.