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目的总结老年人急性肾功能衰竭的临床特点和治疗体会。方法回顾分析我院125例老年急性肾功能衰竭患者的临床资料,并与同期83例中青年患者进行对比。结果老年患者的致病原因以肾前性因素最多,其次是肾性疾病和肾后性因素,与中青年患者比较有明显差异,P<0.05。老年患者治愈率明显低于中青年患者,病死率明显高于中青年患者,P<0.05。结论患者的安危很大程度取决于处理医师的临床经验,准确的诊断和治疗、尽快解除导致肾功能衰竭的因素是提高患者存活率、改善患者预后的关键。
Objective To summarize the clinical features and treatment of acute renal failure in the elderly. Methods The clinical data of 125 elderly patients with acute renal failure in our hospital were retrospectively analyzed and compared with 83 middle-aged and young patients in the same period. Results The incidence of preneoplastic factors in elderly patients was the highest, followed by renal disease and post-renal factors, with significant differences compared with young patients (P <0.05). The cure rate of elderly patients was significantly lower than that of middle-aged patients, the mortality was significantly higher than that of middle-aged patients, P <0.05. Conclusions The safety of the patients depends largely on the clinical experience of the treating physician. Accurate diagnosis and treatment are the key factors to improve the survival rate and improve the prognosis of the patients as soon as possible to relieve the factors leading to renal failure.