本文报告钩体诱致急性肾功衰竭的临床类型,及其关于预后与病死率的意义.作者对斯里兰卡Ragma北科伦坡61例本病住院患者作了肾脏的概况研究.男性60例,女性1例;年龄4~61岁.53例根据显微镜检凝集效价有4倍增长,8例为流行病学史及临床特征证实诊断;其中4例血培养阳性,属臂钩体的致热型与爪哇型各1例,黄疸出血型2例.9例死于急性肾功衰竭.实验室研究包括血尿素氮,血清电解质,血清胆红素,尿尿素含量和尿液分析.全部病 This article reports the clinical types of leptospirosis-induced acute renal failure and its implications for prognosis and mortality. The authors performed a population-based study of 61 patients with in-hospital conditions in Ragma, Northern Colombo, Sri Lanka. There were 60 males and 1 females; Age 4 to 61 years old.According to the microscopic examination of coagulation agglutination set in 53 patients 4 times the potency, 8 cases of epidemiological history and clinical features confirmed diagnosis; 4 cases of blood culture positive, 1 case in each, 2 cases of hemorrhagic jaundice and 9 cases died of acute renal failure.The laboratory studies included blood urea nitrogen, serum electrolytes, serum bilirubin, urinary urea and urinalysis.