摘要
目的探讨老年慢性肾功能衰竭（简称慢性肾衰）的临床特征，以指导临床治疗。方法对我院1988年1月～1997年10月收治的130例老年慢性肾衰患者进行回顾性分析。结果①其原发病以高血压肾动脉硬化最常见，其次为慢性肾小球肾炎和糖尿病肾病；②感染是老年慢性肾衰最常见的共发症，结核病的发生率（6．92％）明显高于普通人群；③心力衰竭和上消化道出血是老年慢性肾衰患者最常见的并发症和重要的死亡原因。结论积极防治感染，早期充分透析，控制血压，纠正贫血，减少心力衰竭的发生，加强制酸与保护胃粘膜等措施有助于降低老年漫性肾衰患者的死亡率。老年慢性肾衰患者选择做肾移植应慎重。
Objective To investigate the clinic characteristics of old patients with chronic renalfailure(CRF) for the purpose of guiding treatment. Methods From January 1988 to October 1997, 130cases of old patients with chronic renal failure were treated in our hospital. The clinic manifestationswere reviewed. Results Hypertension was the leading cause of CRF in old patients, chronic glomeru-lonephritis and diabetes came second. Infection was the most common complication in old CRF cases,the incidence of tuberculosis infection(6. 92%) was higher than that in ordinary popular- Heart failureand upper gastrointestinal hemorrhage was the usual complication and important cause of death in oldpatients with CRF. Conclusion For the purpose of lowering the death rate of old CRF patients, it washelpful to prevent and treat the infection promptly, dialysis adequatly, control hypertension and anemi-a, lower the incidence of heart failure, and protect the gastric mucosa by using anti-acid agents. Renaltransplantation for old CRF patients should be prudent.
出处
《中国全科医学》
CAS
CSCD
1999年第3期197-199,共3页
Chinese General Practice
关键词
老年人
慢性
肾功能衰竭
临床分析
Old Chronic renal failure(CRF) Diabetic Nephropathy
