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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.