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工目的：探讨急性肾功能衰竭的高危因素及防治方法。方法：对21例体外循环心脏术后急性肾功能衰竭患者及对照组进行研究。结果：高龄，术前心、肾功能情况及体外循环时间的长短等均为易发因素。经过治疗，肾功能均有所改善，其中6例腹膜透析，1例血液透析。15例康复出院，6例死亡，死亡率28.6％。结论：分析表明，降低急性肾衰的发生率及死亡率主要在于对术前高危因素的重视及术中术后积极的防治措施。
Objective: To investigate the risk factors and prevention and treatment of acute renal failure. Methods: 21 patients with acute renal failure after cardiopulmonary bypass and control group were studied. Results: The elderly, preoperative heart, renal function and duration of cardiopulmonary bypass are prone factors. After treatment, renal function has been improved, of which 6 cases of peritoneal dialysis, hemodialysis in 1 case. 15 cases were discharged from hospital, 6 died, the mortality rate was 28.6%. Conclusion: The analysis shows that reducing the incidence of acute renal failure and mortality mainly lies in the importance of preoperative risk factors and postoperative positive control measures.