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[背景]探讨急性胰腺炎合并肾损害的临床表现和治疗.[病例报告] 31例急性胰腺炎合并肾 损害的病人中,出现蛋白尿28例(90%),镜下血尿11例(35%),管型尿11例(35%),血尿素氮升高10 例(32%),血肌酐升高7例(23%).经过治疗,除4例死于多脏器功能衰竭外,余27例肾功能恢复正常, 尿复查显阴性.[讨论]急性胰腺炎合并肾损害是急性胰腺炎常见的并发症.急性胰腺炎治疗中应防止 肾损害的发生,一旦发生,应采取各种有效的治疗方法.
[Background] To investigate the clinical manifestations and treatment of acute pancreatitis complicated with renal damage. [Case Report] 28 cases (90%) of proteinuria, 11 cases of microscopic hematuria (35%), 11 cases of tubular urine (35%), and blood urea nitrogen uptake in 31 patients with acute pancreatitis and renal damage Elevated in 10 cases (32%), serum creatinine increased in 7 cases (23%). After treatment, in addition to 4 cases died of multiple organ failure, more than 27 cases of renal function returned to normal urine negative significantly. [Discussion] Acute pancreatitis with renal damage is a common complication of acute pancreatitis. In the treatment of acute pancreatitis should prevent the occurrence of renal damage, once occurred, should take a variety of effective treatment.