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本文分析５６例多器官功能衰竭（ＭＯＦ）中急性肾功能衰竭（ＡＲＦ）与预后的关系，并与无ＭＯＦ的６２例ＡＲＦ进行对照研究。两组ＡＲＦ脏器功能受损指标表明，ＭＯＦ组的休克、气急、黄疸、弥散性血管内凝血（ＤＩＣ）的发生率明显高于非ＭＯＦ组，同时有明显的高钾血症、严重的代谢性酸中毒，肾衰指数及滤过钠分数也明显升高，病死率前者为８４％，后者为４２％。并进一步发现老年人、原先存在慢性器质性疾病、并发严重感染和／或中毒性休克、病情严重等是影响ＡＲＦ的ＭＯＦ患者预后的高危因素。
This study analyzed the relationship between acute renal failure (ARF) and prognosis in 56 patients with multiple organ failure (MOF) and compared them with 62 ARF patients without MOF. The indicators of organ damage in ARFs in both groups showed that the incidence of shock, shortness of breath, jaundice and diffuse intravascular coagulation (DIC) in MOF group was significantly higher than that in non-MOF group, with obvious hyperkalemia and severe metabolic Acidosis, renal failure index and filtration sodium scores also significantly increased, the former was 84%, the latter 42%. And further found that the elderly, pre-existing chronic organic disease, complicated by severe infection and / or toxic shock, serious condition is the risk factors for the prognosis of ARF patients with MOF.