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166例急性肾损伤的临床分析

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摘要 目的:总结急性肾损伤(AKI)的流行病学、病因、分布特点、临床特点以及影响预后的因素。方法:回顾性分析166例AKI患者的临床资料。结果:AKI发生率占我院同期住院患者的0.39%;非老年组肾性因素所占比例高于老年组;AKI主要病因为药物、脓毒症、心力衰竭;AKI总死亡率为30.1%,肾性因素死亡率高,接受肾脏替代治疗组死亡率,明显低于保守治疗组(P<0.05)。合并MODS死亡率高。结论:住院患者AKI发生率高、死亡率高,肾脏替代治疗预后佳。MODS是影响AKI死亡率的重要危险因素,应积极重视纠正MODS,降低AKI死亡率。
作者 张晓艳
出处 《长治医学院学报》 2016年第5期361-363,共3页 Journal of Changzhi Medical College
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