CAJ | 학술논문

目的：：探讨慢性肾衰竭患者的发病病因及转归。方法：对180例慢性肾衰竭患者的病因、疾病分期、并发症、治疗方式及转归预后进行回顾性分析比较。结果：慢性肾衰竭住院患者病因依次为慢性肾小球肾炎为主(43.3%)、高血压肾病(22.2%)；主要病情分期尿毒症期(60.6%)、肾衰竭期次之(15.6%)；并发症肾性贫血(72.2%)、肾性高血压(67.8%)；治疗方式血液透析(51.1%)、内科治疗(41.7%)；转归为：目前存活147例，死亡31例，死亡原因以心功能衰竭为主(32.3%)。结论：慢性肾衰竭患者的病因主要由慢性肾小球肾炎和高血压肾病引起，其转归尚不理想。
목적：：탐토만성신쇠갈환자적발병병인급전귀。방법：대180례만성신쇠갈환자적병인、질병분기、병발증、치료방식급전귀예후진행회고성분석비교。결과：만성신쇠갈주원환자병인의차위만성신소구신염위주(43.3%)、고혈압신병(22.2%)；주요병정분기뇨독증기(60.6%)、신쇠갈기차지(15.6%)；병발증신성빈혈(72.2%)、신성고혈압(67.8%)；치료방식혈액투석(51.1%)、내과치료(41.7%)；전귀위：목전존활147례，사망31례，사망원인이심공능쇠갈위주(32.3%)。결론：만성신쇠갈환자적병인주요유만성신소구신염화고혈압신병인기，기전귀상불이상。
Objective: To discuss etiology and outcome of chronic renal failure. Methods: The causes, stages, complica-tions, treatments, and outcome and prognosis of 180 cases with chronic renal failure were retrospectively analyzed and compared. Re-sults:The main causes of the inpatients with chronic renal failure were glomerulonephritis (43. 3%) and hypertensive nephropathy (22. 2%). The main stages were uremia (60. 6%) and renal failure (15. 6%). The complications were renal anemia (72. 2%) and renal hypertension (67. 8%). The treatment methods were hemodialysis (51. 1%) and medical treatment (41. 7%). The outcomes were147 cases survived and 31cases died, and the main death reason was heart failure. Conclusions:Chronic renal failure patients is mainly caused by chronic glomerulonephritis and hypertensive nephropathy, and the outcome is not ideal.