危重症病人肾前性急性肾衰竭的临床及预后分析

目的了解危重症病人入院时肾前性急性肾衰竭(PARF)的发生率、常见病因和诱因、影响转归和预后的相关因素。方法对1998-08～2002-08中心收治的867例危重症病例进行回顾性总结分析。结果 100例病人存在PARF(发生率为11．53％)。最常见的病因和诱因为有效循环血容量减少、心力衰竭、脓毒症／脓毒性休克。81％的病例经有效治疗后肾功能恢复，19％病例肾功能恶化、进展为急性肾小管坏死(ATN)，共24例病人死亡。多因素Logistic回归分析显示，APACHE Ⅱ评分、肾脏低灌流持续时间和脓毒性休克与PARF恶化密切相关。PARF恶化、透析治疗、APACHE Ⅱ评分和脓毒性休克是PA...

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Veröffentlicht in:	Zhongguo ji jiu yi xue 2005, Vol.25 (2), p.79-81
1. Verfasser:	柴艳芬寿松涛崔书章洪云川王鑫
Format:	Artikel
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Schlagworte:	危重症病人发生率肾前性急性肾衰竭预后
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creator	柴艳芬寿松涛崔书章洪云川王鑫
description	目的了解危重症病人入院时肾前性急性肾衰竭(PARF)的发生率、常见病因和诱因、影响转归和预后的相关因素。方法对1998-08～2002-08中心收治的867例危重症病例进行回顾性总结分析。结果 100例病人存在PARF(发生率为11．53％)。最常见的病因和诱因为有效循环血容量减少、心力衰竭、脓毒症／脓毒性休克。81％的病例经有效治疗后肾功能恢复，19％病例肾功能恶化、进展为急性肾小管坏死(ATN)，共24例病人死亡。多因素Logistic回归分析显示，APACHE Ⅱ评分、肾脏低灌流持续时间和脓毒性休克与PARF恶化密切相关。PARF恶化、透析治疗、APACHE Ⅱ评分和脓毒性休克是PARF死亡的危险因素。结论循环血容量减少、心力衰竭引起PARF及时治疗肾功能多可恢复，并有良好预后；脓毒症／脓毒症休克所致者PARF多进展为ATN，预后不良。
doi_str_mv	10.3969/j.issn.1002-1949.2005.02.001
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subjects	危重症病人发生率肾前性急性肾衰竭预后
title	危重症病人肾前性急性肾衰竭的临床及预后分析
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