论文部分内容阅读
目的研究住院患者发生医院获得性急性肾损伤(HA-AKI)的发病率、临床特点及转归。方法回顾性分析123 105例成人住院患者的临床资料,判断HA-AKI的发病情况、年龄阶段构成比、临床特征及转归。结果 174例(0.14%)成人住院患者发生HA-AKI。其中,18-39岁15例(8.6%),40-59岁39例(22.4%),60-79岁82例(47.1%),≥80岁38例(21.8%)。174例中,诊断冠心病23例(13.2%)、高血压病19例(10.9%)、糖尿病25例(14.3%)、肿瘤21例(12.1%)、慢性阻塞性肺疾病17例(9.8%)等;最终治愈71例(41.8%)、好转54例(31.0%)、未愈30例(17.2%)、死亡19例(10.9%)。结论 HA-AKI患病率及病死率高,基础病以冠心病、高血压病、糖尿病及慢性阻塞性肺疾病等常见,早期诊断、及时治疗对预后意义重大。
Objective To study the incidence, clinical characteristics and prognosis of hospital-acquired acute renal injury (HA-AKI) in hospitalized patients. Methods The clinical data of 123 105 adult inpatients were retrospectively analyzed to determine the incidence of HA-AKI, age-specific proportions, clinical features and prognosis. Results HA-AKI occurred in 174 hospitalized adults (0.14%). Among them, 15 (8.6%) were 18-39 years old, 39 (40.4%) were 40-59 years old, 82 (47.1%) were 60-79 years old and 38 (21.8%) were ≥80 years old. Of the 174 patients, 23 (13.2%) were diagnosed with coronary heart disease, 19 (10.9%) with hypertension, 25 (14.3%) with diabetes, 21 with tumors (12.1%), and 17 with chronic obstructive pulmonary disease ), And finally cured in 71 cases (41.8%), improved in 54 cases (31.0%), unhealed in 30 cases (17.2%) and died in 19 cases (10.9%). Conclusion The prevalence and mortality rate of HA-AKI are high. The common, early diagnosis and timely treatment of essential diseases such as coronary heart disease, hypertension, diabetes and chronic obstructive pulmonary disease are of great significance to the prognosis.