ARF的预后与病因或原发基础疾病的严重程度,治疗正确及时与否及有无并发症有密切关系。 一、对病因或原发基础疾病的治疗 如各种原因的脱水、脱盐及低血容量性休克,必须及时纠正有效血容量和电解质平衡。急性变态反应性间质性肾炎、急性肾小球疾病、结缔组织疾病及变应性血管炎等所致的ARF,应及时使用皮质类固醇激素。感染性休克及流行性出血热,除纠正血容量之外,也考虑使用皮质类固醇激素和抗生素,严重创伤必须彻底清创、引流、充分补液。急 The prognosis of ARF is closely related to the etiology or the severity of the primary underlying disease, the correct and timely treatment, and the presence or absence of complications. First, the cause or primary underlying diseases such as dehydration for various reasons, desalination and hypovolemic shock, we must promptly correct the effective blood volume and electrolyte balance. ARF caused by acute allergic interstitial nephritis, acute glomerular disease, connective tissue disease and allergic vasculitis should be promptly used corticosteroids. Septic shock and epidemic hemorrhagic fever, in addition to correcting blood volume, but also consider the use of corticosteroids and antibiotics, severe trauma must be thoroughly debridement, drainage, adequate rehydration. anxious