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探讨了近十年急性肾功能衰竭的病因及预后,分析了急性肾功能衰竭88例临床资料。结果示88例急性肾衰中死亡33例,病死率为37.5％,老年人、多脏器功能衰竭及外科原因的急性肾衰死亡率较高。揭示:急性肾衰的死因主要在于它的原发性疾病的严重性及其在急性期出现的合并症;在急性肾衰的早期尤其是缺血性、中毒性急性衰竭运用多巴胺与速尿治疗有利于改善肾功能及缩短其病程。
The etiology and prognosis of acute renal failure in the recent ten years were explored. The clinical data of 88 cases of acute renal failure were analyzed. The results showed 88 cases of acute renal failure in 33 cases, the mortality rate was 37.5%, the elderly, multiple organ failure and surgical reasons of acute renal failure higher mortality. Revealed: the main cause of death of acute renal failure is its severity of the primary disease and its complications in the acute phase; early in acute renal failure, especially ischemic, toxic acute failure with dopamine and furosemide treatment Help to improve renal function and shorten its duration.