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报告44例由内科疾病引起的少尿型急性肾功能衰竭(ARF),经多种血液净化方法治疗,使存活率显著提高(88.6%)。认为应用碳酸盐透析液和生物相容性好的合成膜透析器加上多种血液净化技术的合理组合进行间歇性血液透析是提高ARF存活率的基本治疗方法。对极少数特重型患者应在床旁施行连续性动静脉血液滤过疗法。强调早期透析,积极治疗原发病,预防和减少多器官衰竭是降低病死率的关键。
A report of 44 cases of oliguric acute renal failure (ARF) caused by medical conditions was significantly improved (88.6%) with various blood purification methods. That the application of carbonate dialysis fluid and biocompatible synthetic membrane dialyzer with a variety of blood purification technology, a reasonable combination of intermittent hemodialysis is to improve the survival rate of ARF basic treatment. A very small number of extra-heavy patients should be bedside continuous arteriovenous hemofiltration therapy. Emphasis on early dialysis, active treatment of primary disease, prevention and reduction of multiple organ failure is the key to reducing mortality.