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我科从1990年1月至1995年4月,共收治急性肾功能衰竭(acuterenalfailure,ARF)患儿65例,恢复正常34例,好转18例,死亡13例。本文就其有关检查与ARF预后间的关系进行分析。实验检测结果表明,血尿素氮(BuN)异常升高者,死亡率高(p<0.05),血清钠(SNa)显著降低者死亡率高(p<0.05)内生肌酐清除率(CCr)≤30ml/min/1.73M2者死亡率高(p<0.05),尿液中酶学检查乳酸脱氢酶(LDH)、N-乙酶-β-D氨基葡萄糖苷酶(NAG)、r-谷氨酰转肽酶(r-GT)的活性呈并行升高,血清超氧歧化酶(SOD)活力下降,血清过氧化脂质(LPO)含量增加等项亦可作为临床上判断小儿ARF预后的指标。
Our department from January 1990 to April 1995, were treated 65 cases of children with acute renal failure (ARF), returned to normal in 34 cases, improved in 18 cases, 13 cases of death. This article analyzes the relationship between their examination and ARF prognosis. The experimental results showed that the patients with abnormally elevated levels of blood urea nitrogen (pNN) had higher mortality (p <0.05) and significantly lower serum sodium (SNa) with higher mortality (p <0.05) (CCr) ≤30ml / min / 1.73M2 (p <0.05), urinary lactate dehydrogenase (LDH), N-ethyl-β-D glucosaminidase NAG) and r-glutamyltranspeptidase (r-GT) were increased in parallel. The activity of serum superoxide dismutase (SOD) and the increase of serum lipid peroxide (LPO) To determine the prognosis of children with ARF indicators.