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为探讨近期急性肾衰竭 ( ARF)的临床特点 ,分析近 8年各科住院成人 ARF 12 4例。结果表明 ,老年病例占 2 9.0 %。内、外、妇产科 ARF分别为 91例、18例、2例和 13例 ,外科构成比明显偏低。基础病因以感染为主 ,其次为药物 ,二者均由急性肾小管坏死 ( ATN)或急性间质性肾炎 ( AIN)导致 ARF。病损类型依次为 ATN( 87例 )、AIN( 15例 )、小球损害 ( 11例 )、肾后梗阻 ( 10例 )和小管内阻塞 ( 1例 )。病死率内外科仍在 5 0 %左右 ,这与老年病例和基础病难治者居多有关。 ARF本身的严重度与病死率关系不大。要改善 ARF的预后 ,控制基础病是关键
In order to explore the clinical features of recent acute renal failure (ARF), 12 cases of ARF in hospitalized adults in each department in recent 8 years were analyzed. The results showed that elderly cases accounted for 29.0%. The internal and external obstetrics and gynecology ARF were 91 cases, 18 cases, 2 cases and 13 cases, the surgical constituent ratio was significantly lower. The underlying cause was infection, followed by medication, both of which resulted in ARF due to acute tubular necrosis (ATN) or acute interstitial nephritis (AIN). The lesion types were ATN (87 cases), AIN (15 cases), pellet damage (11 cases), posterior renal cell obstruction (10 cases) and tuberculous occlusion (1 case). The fatality rate is still about 50% in surgery and surgery, which is mostly related to elderly patients and those with basic diseases. The severity of ARF has little to do with mortality. To improve the prognosis of ARF, control of the underlying disease is the key