中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
15期
45-46
,共2页
慢性肾衰竭%急性加重%因素
慢性腎衰竭%急性加重%因素
만성신쇠갈%급성가중%인소
Chronic renal failure%Exacerbations%Factor
目的：探讨导致慢性肾衰竭急性加重的因素。方法：2009年1月-2013年1月收治慢性肾衰竭非透析患者50例，分为老年组28例和中青年组22例，均采用常规治疗。对导致慢性肾衰竭急性加重的诱发因素进行分析。结果：导致慢性肾衰竭急性加重的因素包括急性感染、肾毒性药物、血压急剧升高、急性左心衰、急性血容量不足、尿路梗阻及手术等。其中老年组以急性感染、肾毒性药物、急性左心衰、急性血容量不足多见；中青年组以血压急剧升高、肾毒性药物、急性感染多见。结论：慢性肾衰竭患者对一些促使肾功能急剧恶化的因素应及早防止和控制。
目的：探討導緻慢性腎衰竭急性加重的因素。方法：2009年1月-2013年1月收治慢性腎衰竭非透析患者50例，分為老年組28例和中青年組22例，均採用常規治療。對導緻慢性腎衰竭急性加重的誘髮因素進行分析。結果：導緻慢性腎衰竭急性加重的因素包括急性感染、腎毒性藥物、血壓急劇升高、急性左心衰、急性血容量不足、尿路梗阻及手術等。其中老年組以急性感染、腎毒性藥物、急性左心衰、急性血容量不足多見；中青年組以血壓急劇升高、腎毒性藥物、急性感染多見。結論：慢性腎衰竭患者對一些促使腎功能急劇噁化的因素應及早防止和控製。
목적：탐토도치만성신쇠갈급성가중적인소。방법：2009년1월-2013년1월수치만성신쇠갈비투석환자50례，분위노년조28례화중청년조22례，균채용상규치료。대도치만성신쇠갈급성가중적유발인소진행분석。결과：도치만성신쇠갈급성가중적인소포괄급성감염、신독성약물、혈압급극승고、급성좌심쇠、급성혈용량불족、뇨로경조급수술등。기중노년조이급성감염、신독성약물、급성좌심쇠、급성혈용량불족다견；중청년조이혈압급극승고、신독성약물、급성감염다견。결론：만성신쇠갈환자대일사촉사신공능급극악화적인소응급조방지화공제。
Objective:To explore the factors of chronic renal failure exacerbations.Methods: 50 cases with chronic renal failure but not dialysis were admitted from January 2009 to January 2013.They were divided into the elderly group with 28 cases and the young and middle-aged group with 22 cases.Adopt regular treatment.And then analyze the inducing factors of acute exacerbation of chronic renal failure.Results:Acute infection,nephrotoxic drugs,a sharp increase in blood pressure,acute left heart failure,acute hypovolemia,urinary tract obstruction and operation and other factors could cause exacerbations of chronic renal failure.The main factors of the elderly group were acute infection,nephrotoxic drugs, acute left heart failure and acute hypovolemia. The main factors of the young and middle-aged group were a sharp increase in blood pressure,nephrotoxic drugs and acute infection. Conclusion:In patients with chronic renal failure,some factors should be control to avoide prompting rapid deterioration of renal function.
