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目的 :探讨肾综合征出血热 ( HFRS)非少尿型急性肾功能衰竭 ( NOARF)的临床特点。方法 :以同期入院的 HFRS并发急性肾功能衰竭 ( ARF) 2 5 5例 ,分 NOARF组 63例和 OARF组 1 92例进行临床对比分析。结果 :NOARF组氮质血症轻 ,危重并发症少 ,多尿期无大量多尿 ,病程短 ,恢复快 ,病死率 ( 1 7.7% )低于 OARF组 ( 2 7.6% )。结论 :发生NOARF患者与入院时间短 ,休克发生率低 ,早期利尿和扩张肾血管药物治疗 ,减轻了 ARF病情有关
Objective: To investigate the clinical features of non-oliguric acute renal failure (NOARF) in patients with hemorrhagic fever with renal syndrome (HFRS). Methods: The clinical data of 257 HFRS patients with concurrent acute renal failure (ARF) admitted to hospital during the same period were compared among 63 cases of NOARF group and 192 cases of OARF group. Results: The NOARF group had less azotemia, less critical complication, no polyuria in the polyuria stage, short course of disease, faster recovery and lower case fatality rate (7.76%) than the OARF group (7.66%). CONCLUSIONS: The incidence of ARF in patients with NOARF is associated with shorter hospital stay, lower rates of shock, early diuresis, and dilated renal vascular drug therapy