论文部分内容阅读
目的研究急性肾功能衰竭(ARF)患者的病因、预后和影响预后的因素。方法回顾性研究我院2004年6月至2008年6月住院ARF患者的临床资料。结果观察期间住院患者共34 622例次,其中ARF患者96例,占同期住院患者的0.28%。ARF主要病因为感染、心力衰竭和药物。ARF患者病死率为30.2%,进行肾替代治疗者病死率(24.1%)低于保守治疗者(35.8%),二者比较差异有统计学意义(P<0.01)。结论住院ARF患者的主要病因是感染、心力衰竭和药物,ARF的发病率和病死率较高,肾替代治疗预后较好。
Objective To study the etiology, prognosis and prognosis of patients with acute renal failure (ARF). Methods The clinical data of hospitalized patients with ARF from June 2004 to June 2008 in our hospital were retrospectively studied. Results During the observation period, a total of 34,622 inpatients were observed, of which 96 were ARF patients, accounting for 0.28% of hospitalized patients in the same period. The main causes of ARF are infections, heart failure and medication. The mortality rate of ARF patients was 30.2%, that of renal replacement patients was lower than that of conservative patients (35.8%, 24.1%), the difference was statistically significant (P <0.01). Conclusions The main causes of hospitalized patients with ARF are infection, heart failure and drugs. The incidence and mortality of ARF are high, and the prognosis of renal replacement therapy is better.