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经皮肾活检对病因不明急性肾功能衰竭(ARF)的诊断、治疗及预后判断具有重要意义。本文对本院6例ARF患者的肾活检结果作一小结,并结合文献讨论ARF肾活检的必要性,适应证及其并发症防治。 1 材料和方法 1.1 1997年1月至12月我院共对6例不明原因ARF患者作了肾穿刺活检,全部病例排除肾前及肾后因素引起的ARF,也无明显的肾缺血、肾中毒病史。男3例,女3例,年龄19～53岁,少尿、无尿时间2～30天,平均血肌酐浓度1042.09μmol/L,平均血尿素氮浓度28.75mmol/L。全部病例术前均作双肾B超检查,双肾体积增大4例,无1例双肾缩
Percutaneous renal biopsy is of great importance for the diagnosis, treatment and prognosis of acute renal failure (ARF) of unknown etiology. In this paper, 6 cases of ARF patients in our hospital for a summary of the results of renal biopsy, combined with the literature discuss ARF renal biopsy necessity, indications and complications prevention and treatment. 1 Materials and Methods 1.1 January 1997 to December in our hospital a total of 6 cases of ARF patients with unexplained renal biopsy, excluding all cases of ARF caused by pre-and post-renal factors, and no significant renal ischemia, kidney Poisoning history. 3 males and 3 females, aged 19 to 53 years old, oliguria, anuria time of 2 to 30 days, the average serum creatinine concentration of 1042.09μmol / L, the average blood urea nitrogen concentration of 28.75mmol / L. All cases were preoperative B-ultrasound of the kidneys, kidneys increased in volume in 4 cases, no case of double renal contraction