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目的:探讨急性肾功能衰竭的病因及与预后的关系。方法:对 137例急性肾功能衰竭患者的临床资料进行回顾性分析。结果:137例急性肾功能衰竭病例中,病因以肾实质性因素最多(111例),其中毒蕈中毒56例、鱼胆中毒 21例、各种肾炎 10例。其次为肾前性因素(19例),包括败血症及感染性休克 13例、产后大出血 3例。肾后性 4例。在全部病例中,以农民病员居多(72例)。死亡19例,其中因败血症、感染性休克及产后大出血导致者共12例。结论:毒蕈中毒和鱼胆中毒是急性肾功能衰竭的主要病因,肾前性因素是导致死亡的主要原因。
Objective: To investigate the etiology and prognosis of acute renal failure. Methods: The clinical data of 137 patients with acute renal failure were retrospectively analyzed. Results: Among the 137 cases of acute renal failure, the most common cause of renal parenchyma was found in 111 cases, including 56 cases of poisonous mushroom poisoning, 21 cases of fish gall bladder poisoning and 10 cases of various nephritis. Followed by prerenal factors (19 cases), including sepsis and septic shock in 13 cases, 3 cases of postpartum hemorrhage. 4 cases of post-renal. In all cases, the majority of peasant patients (72 cases). 19 died, including 12 cases of sepsis, septic shock and postpartum hemorrhage. Conclusion: Toadstool poisoning and fish gall poisoning are the main causes of acute renal failure. Prerenal factors are the main causes of death.