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目的分析并探讨急性肾损伤患者的发病原因及预后。方法回顾性分析2006年3月至2009年5月呼和浩特市第一医院收治的急性肾损伤患者67例临床资料,总结发病原因,分析疾病预后。结果急性肾损伤发病原因中,肾前性急性肾损并发心力衰竭居于首位,占总例数49.3%;之后依次为慢性肾病(20.9%),手术(19.3%),肾后性急性肾损伤(6.0%),药物中毒(4.5%);本组急性肾损伤患者中采用透析治疗35例,其中治愈16例,改善11例,死亡8例,死亡率14.3%;采用非透析保守治疗32例,其中治愈14例,改善10例,死亡8例,死亡率25.0%。两组患者死亡率比较差异无统计学意义(P>0.05)。结论肾前性急性肾损伤并发心力衰竭及慢性肾病是导致急性肾损伤发病的主要原因;早期预防,早期诊断,早期治疗对于有降低急性肾损伤死亡率,改善预后具有重要意义。
Objective To analyze and discuss the etiology and prognosis of patients with acute renal injury. Methods A retrospective analysis of 67 cases of acute kidney injury patients admitted from the first hospital in Hohhot from March 2006 to May 2009 was performed to summarize the causes of the disease and analyze the prognosis of the disease. Results Among the causes of acute kidney injury, prerenal acute renal failure complicated with heart failure was the highest, accounting for 49.3% of total cases, followed by chronic kidney disease (20.9%), surgery (19.3%) and renal acute renal injury 6.0%), and drug poisoning (4.5%). Thirty-five patients were treated with dialysis in this group of patients with acute renal injury, of which 16 were cured, 11 improved, 8 died and the mortality was 14.3% Among them, 14 cases were cured, 10 cases improved, 8 died and the mortality rate was 25.0%. There was no significant difference in mortality rate between the two groups (P> 0.05). Conclusions Prerenal acute renal injury complicated with heart failure and chronic kidney disease are the main causes of acute kidney injury. Early prevention, early diagnosis and early treatment are important for reducing mortality and improving prognosis of acute renal injury.