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目的探讨败血症伴急性肾功能衰竭患者的临床特点和影响预后的因素。方法选择本院2011年1月至2017年1月期间收治的败血症伴急性肾功能衰竭患者作为观察组研究资料,另选择同时期本院接收的急性肾功能衰竭非败血症患者作为对照组研究资料,各60例,对两组患者的临床资料及治疗信息进行回顾性分析和比较。结果观察组病死率、生存时间、初始透析时间均明显高于对照组,而血肌酐水平明显低于对照组,P<0.05。结论因为败血症引起的急性肾功能衰竭患者存在预后差、病死率高等特征,其中少尿、多脏器衰竭、慢性疾病数量均为影响患者预后的主要因素,具有重要的研究价值。
Objective To investigate the clinical features and prognostic factors of patients with sepsis and acute renal failure. Methods The patients with sepsis and acute renal failure admitted to our hospital from January 2011 to January 2017 were selected as the research group. The patients with non-sepsis of acute renal failure who received in our hospital at the same time were selected as the control group, 60 cases in each group. The clinical data and treatment information of the two groups were retrospectively analyzed and compared. Results The mortality, survival time and initial hemodialysis time in the observation group were significantly higher than those in the control group, while the serum creatinine levels in the observation group were significantly lower than those in the control group (P <0.05). Conclusions Because of the poor prognosis and high mortality in patients with acute renal failure caused by sepsis, oliguria, multiple organ failure and the number of chronic diseases are the main factors affecting the prognosis of patients with acute renal failure, which has important research value.