中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2012年
9期
786-788
,共3页
肾衰竭%急性%治疗结果
腎衰竭%急性%治療結果
신쇠갈%급성%치료결과
Kidney failure%Acute%Treatment outcome
目的 探讨急性肾损伤(AKI)的病因、临床特点及治疗力法,以助于早期诊断及制定合理的治疗方案. 方法 调查AKI肾损伤患病情况·临床表现、发病率、病因构成及肾损伤分期与预后的相关关系. 结果 624例患者死亡1 22例(19.6％),其中在衰竭期(37.8％)死亡率高于损伤期(23.4％),损伤期高于危险期(6.7％)；有21例(3.4％)病情恶化,29例(4.7％)维持现状,452例(72.4％)治愈或好转；在进行血液净化的138例患者中,治愈或好转病例数为116例(84.1％),其中长期进行血液净化的22例患者有20例(90.9％)治愈或好转.非老年组(＜60岁)主要致病原因与原发疾病及塌方有关,老年组(≥60岁)病因主要与原发性疾病有关. 结论 住院患者AKI的发病率较高,死亡率高；长期进行血液净化效果优于普通治疗；早期预防、早诊断及积极干预AKI能够提高AKI患者的生存率并有助于改善预后.
目的 探討急性腎損傷(AKI)的病因、臨床特點及治療力法,以助于早期診斷及製定閤理的治療方案. 方法 調查AKI腎損傷患病情況·臨床錶現、髮病率、病因構成及腎損傷分期與預後的相關關繫. 結果 624例患者死亡1 22例(19.6％),其中在衰竭期(37.8％)死亡率高于損傷期(23.4％),損傷期高于危險期(6.7％)；有21例(3.4％)病情噁化,29例(4.7％)維持現狀,452例(72.4％)治愈或好轉；在進行血液淨化的138例患者中,治愈或好轉病例數為116例(84.1％),其中長期進行血液淨化的22例患者有20例(90.9％)治愈或好轉.非老年組(＜60歲)主要緻病原因與原髮疾病及塌方有關,老年組(≥60歲)病因主要與原髮性疾病有關. 結論 住院患者AKI的髮病率較高,死亡率高；長期進行血液淨化效果優于普通治療；早期預防、早診斷及積極榦預AKI能夠提高AKI患者的生存率併有助于改善預後.
목적 탐토급성신손상(AKI)적병인、림상특점급치료역법,이조우조기진단급제정합리적치료방안. 방법 조사AKI신손상환병정황·림상표현、발병솔、병인구성급신손상분기여예후적상관관계. 결과 624례환자사망1 22례(19.6％),기중재쇠갈기(37.8％)사망솔고우손상기(23.4％),손상기고우위험기(6.7％)；유21례(3.4％)병정악화,29례(4.7％)유지현상,452례(72.4％)치유혹호전；재진행혈액정화적138례환자중,치유혹호전병례수위116례(84.1％),기중장기진행혈액정화적22례환자유20례(90.9％)치유혹호전.비노년조(＜60세)주요치병원인여원발질병급탑방유관,노년조(≥60세)병인주요여원발성질병유관. 결론 주원환자AKI적발병솔교고,사망솔고；장기진행혈액정화효과우우보통치료；조기예방、조진단급적겁간예AKI능구제고AKI환자적생존솔병유조우개선예후.
Objective To investigate the pathogens,clinical characteristic and therapeutic method of acute kidney injury(AKI) Methods The morbidity,composition of pathogeny,staging and prognosis of 624 cases with AKI recruited by our department from January 1999 to December 2009,to evaluate the impacts of possible predisposing factors.Results The mortality rate of AKI was 19.6％(122/624),The mortality in the staging of exhaustion,damage,risk were 37.8％,33.4％ and 6.7％,respectively.Of the 624 patients there were 21 cases (3.4％) discharged due to exacerbation,29 cases (4.7％) maintained the status quo,and 452 cases (72.4％) cured or improved;Among 138 patients with blood purification there vere 116 cascs(84.1 ％)cured or improved and 22 cases (90.9％) with long term blood purification cured or improved.The pathogenyof the non-elderly group (＜60 years old)were original diseases and collapse,and the pathogeny of the elderly group (≥60 years old)were original diseases.Conclusions AKI is serious with high incidence and mortality in hospitalized patients.The efficacy of long-term blood purification is better than common treatment.Early prevention,early diagnosis and active intervention will help to increase survival rate of AKI aud improve prognosis.
