临床内科杂志
臨床內科雜誌
림상내과잡지
JOURNAL OF CLINICAL INTERNAL MEDICINE
2001年
2期
142-144
,共3页
急性肾功能衰竭%透析
急性腎功能衰竭%透析
급성신공능쇠갈%투석
目的 探讨老年急性肾功能衰竭(ARF)的临床特点。方法 将151例ARF病人分为老年组(47例)和对照组(104例)，并比较两组病人的临床资料、治疗方法和预后。结果 老年组引起ARF最常见病因是感染，明显高于对照组(P＜0.01)，而肾实质性疾病引起的ARF明显低于对照组(P＜0.01)。多脏器功能衰竭的发生率、病死率均明显高于对照组(P＜0.01)。治疗开始前血清肌酐水平明显低于对照组(P＜0.01)。接受透析治疗病例数明显低于对照组P＜0.01)。结论 老年ARF的原发疾病及临床经过有其特殊性。加强透析治疗，尤其早期预防性透析是治疗成功的关键，预后与年龄、原发病能否控制及透析时机的选择有关。
目的 探討老年急性腎功能衰竭(ARF)的臨床特點。方法 將151例ARF病人分為老年組(47例)和對照組(104例)，併比較兩組病人的臨床資料、治療方法和預後。結果 老年組引起ARF最常見病因是感染，明顯高于對照組(P＜0.01)，而腎實質性疾病引起的ARF明顯低于對照組(P＜0.01)。多髒器功能衰竭的髮生率、病死率均明顯高于對照組(P＜0.01)。治療開始前血清肌酐水平明顯低于對照組(P＜0.01)。接受透析治療病例數明顯低于對照組P＜0.01)。結論 老年ARF的原髮疾病及臨床經過有其特殊性。加彊透析治療，尤其早期預防性透析是治療成功的關鍵，預後與年齡、原髮病能否控製及透析時機的選擇有關。
목적 탐토노년급성신공능쇠갈(ARF)적림상특점。방법 장151례ARF병인분위노년조(47례)화대조조(104례)，병비교량조병인적림상자료、치료방법화예후。결과 노년조인기ARF최상견병인시감염，명현고우대조조(P＜0.01)，이신실질성질병인기적ARF명현저우대조조(P＜0.01)。다장기공능쇠갈적발생솔、병사솔균명현고우대조조(P＜0.01)。치료개시전혈청기항수평명현저우대조조(P＜0.01)。접수투석치료병례수명현저우대조조P＜0.01)。결론 노년ARF적원발질병급림상경과유기특수성。가강투석치료，우기조기예방성투석시치료성공적관건，예후여년령、원발병능부공제급투석시궤적선택유관。
Objective To investigate the clinical features in elderly patient with actue renal failure (ARF). Methods One hundred and fifty one patients with ARF were divided into two groups: elderly group(≥60 years old, n = 47), control group(13～59 years old, n = 104). The clinical data, thearpy and prognosis between two groups were analysed. Results The most common cause of ARF in elderly group was infection, it was more common than that in the control group( P＜0.01). The incidence of ARF resulted from renal parenchymal disease was lower than that in the control group(P＜0.01). The incidence of multiple organs failure, mortality of patient with ARF in elderly group were higher than those in the control group(P＜0.01).The levels of serum creatinine in elderly group were lower than those in control group before receiving treatment ( P＜0.01 ). The number of cases received dialysis in elderly group were smaller than those bf the control group(P＜0.01). Conclusion The elderly patient with ARF had the special features in its etiology and clinical characteristic. Taking dialysis and doing it early could play a key role in successful treatment to elderly patients with ARF. The prognosis of elderly patient with ARF might be related with how old the patients were , whether the primry disease was con-trolled or not and when the dialysis were taken.
