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目的探讨急性肾功能衰竭 (ARF)的临床特点。方法对 1 4 8例ARF患者不同年龄组的临床特点、诱发因素、病程与转归进行系统性分析。结果不同年龄段诱发ARF的因素各异 ;老年组更易于发生少尿型ARF ,少尿时间最长 ,发生多脏器功能障碍最多 ,是患者死亡的主要原因 ;儿童组肾功能恢复率最高。结论对药物性ARF应引起高度重视 ;而重视老年人ARF的预防和处理 ,是降低ARF发生率和病死率的重要措施。
Objective To investigate the clinical features of acute renal failure (ARF). Methods The clinical features, predisposing factors, course of disease and outcome of 148 ARF patients of different age groups were systematically analyzed. Results The factors of ARF induced by different age groups were different. Older patients were more likely to have oliguric ARF, the longest period of oliguria, and the most multiple organ dysfunction were the main causes of death. The recovery rate of renal function in children was the highest. Conclusions Pharmacological ARF should be paid more attention to. Prevention and treatment of ARF in the elderly are important measures to reduce the incidence of ARF and mortality.