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目的探讨重症监护病房(ICU)患者院内急性肾损伤的病因及预后分析。方法回顾性分析本院ICU收治的136例急性肾损伤患者的临床资料。结果本院ICU患者院内急性肾损伤的发病率为20.82%,死亡率为24.26%,死亡与患者的平均年龄、急性生理与慢性健康评估Ⅱ(APACHEⅡ)的高评分、原发基础疾病及低血压的发生及是否合并感染、休克、创伤等疾病及发生的早晚有关。结论患者年龄越大,合并症越多,急性肾损伤出现时间越早,其发病率和死亡率越高。
Objective To investigate the etiology and prognosis of acute renal injury in intensive care unit (ICU) patients. Methods The clinical data of 136 patients with acute renal injury admitted to our hospital were retrospectively analyzed. Results The incidence of nosocomial acute kidney injury in ICU patients was 20.82% with a mortality rate of 24.26%. The mean age of death and patient, the high score of acute physiology and chronic health assessment Ⅱ (APACHEⅡ), primary underlying diseases and hypotension The occurrence and whether the infection, shock, trauma and other diseases and the occurrence of sooner or later. Conclusion The older the patients, the more complications, the earlier the acute renal injury occurs, the higher the morbidity and mortality.