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急性肾损伤131例临床分析

Clinical Analysis of 131 Patients with Acute Kidney Injury

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【作者】 周竹刘青代薇

【Author】 ZHOU Zhu1),LIU Qing2),DAI Wei3)(1)Dept.of Nephrology;2)Library;3)Dept.of Gastroenterology,the 1st Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China)

【机构】 昆明医学院第一附属医院肾科昆明医学院第一附属医院图书馆昆明医学院第一附属医院消化内科

【摘要】 目的探讨急性肾损伤的临床特点.方法对131例急性肾损伤患者的临床资料进行分析.结果急性肾损伤发病率3.01%,非老年组常见病因是以肾毒性药物使用、动物毒素及感染等因素为主,而老年组则以梗阻引起肾后性为主.老年组的治愈率低于非老年组,病死率高于非老年组.结论控制加重因素,合理肾脏替代治疗是提高治老年急性肾损伤愈率,减少死亡率的主要治疗措施.

【Abstract】 Objective To investigate the clinical features of acute kidney injury(AKI).Method One hundred and thirty-one patients with acute kidney injury were included in this retrospective study.Results The incidence of AKI was 3.01%.The common causes of AKI were use of nephrotoxic drug,zootoxin and infection in the non-elder(<65y),and were obstruction caused by neoplasms and urinary calculi in the elder(65~79 y)and in the eldest(≥ 80y).The cure rate was significantly lower in the eldest and the elder than in the non-elder,and the mortality rate was significantly higher in the eldest and the elder than in the non-elder.Conclusion Comprehensive medical treatment combined with renal replacetment has satisfactory effect on acute kidney injury in improving the cure rate and reducing the mortality rate.

  • 【文献出处】 昆明医学院学报 ,Journal of Kunming Medical University , 编辑部邮箱 ,2011年01期
  • 【分类号】R692.5
  • 【被引频次】3
  • 【下载频次】146
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