中国血液净化

›› 2004, Vol. 3 ›› Issue (5): 261-263.

• 论著 • 上一篇    下一篇

老年人急性肾功能衰竭的病因与预后分析

周 蓉 张 芸 沈 杰   

  1. 200090 上海，上海市杨浦区中心医院肾脏科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2004-05-12 发布日期:2004-05-12

  • Received:1900-01-01 Revised:1900-01-01 Online:2004-05-12 Published:2004-05-12

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摘要：

目的 探讨65岁及以上老年人急性肾功能衰竭（ ARF）的病因、预后及其相关因素。方法 收集 我院1998年1月至2003年10月间诊断的ARF 共116例，按年龄分为老年组（≥65岁）和对照组（<65岁），对比分析两组患者的病因、转归。分析老年人ARF的病因特殊性、预后及其相关影响因素。结果 老年人ARF患者71例，占同期ARF患者总数61.2%。老年人ARF最常见病因为感染（32.3%）、药物（18.3%）、血容量不足（14.0%）、心血管疾病（12.7%）。老年人ARF发生率、病死率均高与对照组。老年人ARF死亡与原发病的严重程度、多脏器功能衰竭有关。结论 老年人ARF发生率高于年轻者。感染、肾毒性药物、血容量不足及心血管疾病是老年人ARF的常见原因。加强原发病的整体治疗，尽早发现并治疗ARF，预防多脏器功能衰竭有助于改善预后。

关键词: 老年, 急性肾功能衰竭, 病因, 预后

Abstract:

Objective To investigate the etiology and prognosis of acute renal failure in the elderly. Methods One hundred and sixteen ARF patients in our hospital from Jan,1998 to Oct,2003 were divided into two groups: senile group (≥65years old), control group(<65years old). The causes and prognosis of the two groups were analyzed. Results The main causes of acute renal failure in the elderly were as follow, infection (32.3%), drugs(18.3%), volume depletion(14.0%) and cardiovascular disease(12.7%).The incidence and mortality rate of ARF in senile group were higher conpared to the control group. It related with the severity of primany disease and the function of organs. Conclusion Both the incidence and mortality rate of acute renal failure in the elderly are high, early diagnosis and early treatment may be beneficial to improving the prognosis of ARF.

Key words: Acute renal failure, Cause, Prognosis

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