【摘要】 目的研究急性肾功能衰竭(ARF)患者的病因、预后和影响预后的因素。方法回顾性研究我院2004年6月至2008年6月住院ARF患者的临床资料。结果观察期间住院患者共34 622例次,其中ARF患者96例,占同期住院患者的0.28%。ARF主要病因为感染、心力衰竭和药物。ARF患者病死率为30.2%,进行肾替代治疗者病死率(24.1%)低于保守治疗者(35.8%),二者比较差异有统计学意义(P<0.01)。结论住院ARF患者的主要病因是感染、心力衰竭和药物,ARF的发病率和病死率较高,肾替代治疗预后较好。更多还原

【Abstract】 Objective To investigate the cause of hospitalized patients with acute renal failure(ARF). Methods The clinical data of patients with ARF in our hospital from June 2004 to June 2008 were studied retrospectively.Results There were 34 622 admissions during the study period and 96 met with the diagnostic criteria of ARF,the percent was 0.28%.The major causes of ARF were infection,heart failure and drug.The overall mortality rate of ARF patients was 30.2%,the mortality rate in replacement therapy group was lower than that in conservative treatment group(24.1% vs 35.8%,P<0.01).Conclusion The main causes of hospitalized patients with ARF are infection,heart failure and drug,and the incidence and mortality are high.The prognosis of replacement therapy patients is better than conservative treatment patients.更多还原