摘要
目的：回顾性研究老年急性肾功能衰竭（ＡＲＦ）的临床特点。方法：１０８例ＡＲＦ病人分为老年组５８例，对照组５０例，对比分析两组病人的临床资料，治疗和预后。结果：老年组肾实质性疾病引起的ＡＲＦ明显低于对照组，内源性和肾后梗阻导致的ＡＲＦ明显对照组。肾功能衰竭的合并症，多脏器功能衰竭的发生率，病死率均明显高于对照组。
Objective:To investigate retrospectively the clinical hallmark of acute renal failure (ARF) in agedness.Method:One hundred and eight ARF paitents were divided into two groups:senile group (≥60 years old,n=58),control group (≤59 years old,n=50).The clinical information,therapy and prognosis between two groups were analysesed.Result:The incidence of ARF resulted by renal parenchymal diseases in senile group was lower than of the control group (P<0.01),but the incidence of ARF in medical and postrenal obstructive was higher than of the control group (P<0.01).The complications of ARF and the incidence of multiple organ failure,fatality rate in senile group were more than of the control group (P<0.05).Initial Level of creatnine in serum of senile group was lower than of the control group (P<0.01).The number of cases receiving hemodialysis has no difference (P>0.05).In senile group,the cases to quit dialysis were more than of the control group (P<0.05).Conclusion:ARF of agedness has itself peculiarity in original diseases and clinical passage.The hihge of successful treatment consists in early preventive dialysis.Agedness could endure hemodialysis very well.Which dialysis is executed favourably by individualizing.The age,controlling original diseases and the opportunity of dialysis have relation with the prognosis.
出处
《医师进修杂志》
2000年第3期23-25,共3页
Journal of Postgraduates of Medicine
