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目的对原发性肾脏综合征(PNS)并发急性肾功能衰竭(ARF)的临床特征与治疗方法进行分析。方法选取PNS并发ARF患者22例,回顾性分析患者临床资料。结果患者有恶心、头晕、呕吐及少尿等表现,72.73%为少尿型,微小病变是常见病理学改变。经对症、激素及透析治疗后,总有效率为95.45%。结论 PNS并发ARF患者多为少尿型,在及时诊断后给予常规激素、对症治疗和透析治疗后,患者肾功能可明显改善,生活质量大幅提高。
Objective To analyze the clinical features and treatment of primary renal syndrome (PNS) complicated with acute renal failure (ARF). Methods Twenty-two patients with PNS complicated with ARF were selected and their clinical data were retrospectively analyzed. Results Patients had nausea, dizziness, vomiting and oliguria and other performance, 72.73% oliguric type, minimal change is a common pathological changes. After symptomatic, hormone and dialysis treatment, the total effective rate was 95.45%. Conclusions Most patients with PNS complicated with ARF are oliguric type, who are given conventional hormones after timely diagnosis. After symptomatic treatment and dialysis, the renal function of patients with PNS can be obviously improved, and the quality of life is greatly improved.