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本文回顾性分析107例可逆性尿毒症的各种加重因素,其中以感染(4205%),脱水,出血及休克(224%),高血压(1121%),肾毒性药物(934%)及高蛋白饮食(841%)多见。107例病人给予随机分组治疗,非透析组(n=32)和联合治疗组(n=75)的有效率分别为312%和88%(P<0.01),两组的病死率分别为344%和107%(P<0.01)。本文表明:对于病情相对稳定而短期内迅速进展,肾功能急剧恶化的CRF病人,积极寻找和纠正各种加重因素,采取非透析与透析的联合乃是治疗可逆性尿毒症的根本措施
This article retrospectively analyzed various aggravating factors of 107 cases of reversible uremia, including infection (4205%), dehydration, hemorrhage and shock (224%), hypertension (1121%), nephrotoxic drugs (934%) and high-protein diet (841%) were more common. A total of 107 patients were randomized to treatment. The response rates were 312% and 88% in the non-dialysis group (n = 32) and the combined treatment group (n = 75), respectively (P <0.01) 34.4% and 10.7% respectively (P <0.01). This article shows that for patients with CRF who are in relatively stable condition and rapidly progressing in the short term and whose renal function is rapidly deteriorating, they actively seek and correct various aggravating factors. The combination of non-dialysis and dialysis is the fundamental measure to treat reversible uremia