急性肾功能衰竭(ARF)是一个临床综合征,除发生在肾脏及尿路疾患外,可在很多小儿严重疾病时发生。特别在严重感染和感染性休克情况下,发生多器官功能衰竭时(MSOF),肾脏为经常受累的器官。Ery 等报告MSOF 时受累器官以肺、肾、肝多见。安藤等观察休克所致MSOF 以肺功能不全最多,其次为肾功能衰竭和肝功能衰竭。国内张氏等报告发生在婴幼儿肺炎的158例器官功能衰竭中,单纯肾衰者6例,MSOF 包括肾功能衰竭者45例。因此在重症抢 Acute renal failure (ARF) is a clinical syndrome that occurs not only in kidney and urinary tract disorders, but also in many pediatric serious illnesses. Especially in severe infections and septic shock, when multiple organ failure (MSOF) occurs, the kidneys are the most frequently affected organs. Ery and other reports of MSOF affected organs to lungs, kidneys, liver more common. Ando et al observed MSOF caused by shock the most pulmonary insufficiency, followed by renal failure and liver failure. Zhang and other domestic reports occurred in 158 cases of infant pneumonia organ failure, simple renal failure in 6 cases, MSOF, including 45 cases of renal failure. So in grabbing seriously