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目的分析慢性肾功能衰竭(慢性肾衰)的临床特点,探讨其诊断方法。方法对福建省公安消防医院2002-02-2009-02间收治以消化道症状发病的慢性肾衰108例的临床资料作回顾性分析。结果初诊误诊61例,误诊率56.48%。初误诊为慢性胃炎52例,胃、十二指肠溃疡2例,慢性结肠炎7例。经治疗后病情好转出院103例,死亡3例,放弃治疗2例。结论慢性肾衰可累及多个系统,临床表现复杂多样,极易误诊,临床医师应提高认识、综合分析病史,及时检测尿常规、肾功能及肾B超以协助诊断。
Objective To analyze the clinical features of chronic renal failure (chronic renal failure) and discuss its diagnostic method. Methods The clinical data of 108 cases of chronic renal failure with gastrointestinal symptoms were retrospectively analyzed from 2002-02 to 2009-02 in Fujian Provincial Public Security Fire Hospital. Results Initial diagnosis of misdiagnosis in 61 cases, misdiagnosis rate was 56.48%. Initially misdiagnosed as chronic gastritis in 52 cases, stomach, duodenal ulcer in 2 cases, 7 cases of chronic colitis. After treatment, his condition improved and discharged from hospital 103 cases, 3 died, give up treatment in 2 cases. Conclusions Chronic renal failure can affect many systems. The clinical manifestations are complex and diverse. It is extremely easy to be misdiagnosed. Clinicians should raise their awareness and comprehensively analyze the medical history. Urine routine examination, renal function and renal B ultrasound should be timely tested to assist in the diagnosis.