论文部分内容阅读
目的探讨合并急性肾衰竭的烧伤患者的临床特点及死亡危险因素。方法回顾性分析51例烧伤伴急性肾衰竭患者的临床资料,对死亡的相关因素进行单因素和多因素分析。结果51例患者的存活率为56.9%(29/51),病死率为43.1%(22/51)。存活组和死亡组的入院距烧伤时间,吸入性烧伤构成比,烧伤面积,少尿构成比,血肌酐峰值及终点值,白蛋白水平,肌酸激酶水平,合并多器官功能衰竭、脓毒血症、烧伤休克的构成比,以及急性肾损伤分级的差异有统计学意义(P<0.05)。烧伤面积、少尿、肌酸激酶水平是死亡的独立危险因素。结论合并急性肾衰竭的烧伤重症患者的病死率高,烧伤面积、尿量、肌酸激酶水平等因素影响患者预后。
Objective To investigate the clinical characteristics and risk factors of death in burn patients with acute renal failure. Methods The clinical data of 51 patients with burn injury and acute renal failure were retrospectively analyzed. Univariate and multivariate analysis were made on the related factors of death. Results The survival rate of 51 patients was 56.9% (29/51) and the case fatality rate was 43.1% (22/51). Survival group and death group admission from the burn time, inhalation burn composition ratio, burn area, oliguria composition ratio, peak and end point of serum creatinine, albumin level, creatine kinase level, with multiple organ failure, sepsis The constituent ratios of disease, burn shock and acute kidney injury were statistically significant (P <0.05). Burn area, oliguria, creatine kinase level is an independent risk factor for death. Conclusion Severe burn patients with acute renal failure complicated with severe renal failure, burns area, urine output, creatine kinase and other factors affect the prognosis of patients.