摘要
目的探讨医院获得性急性肾功能衰竭(HA-ARF)的相关因素。方法回顾分析该院2003～2009年164例ARF患者的临床资料,将其分为2组,HA-ARF组(n=65)与社区获得性ARF(CA-ARF)组(n=99)。结果 HA-ARF组平均年龄、合并多器官功能衰竭(MOF)比例明显高于CA-ARF组(P<0.01),HA-ARF多源于ICU,病因以感染因素最多(30.8%),肾毒性药物(23.1%)、手术因素(21.5%)、肾脏低灌注(15.8%)及合并MOF死亡率(35.38%)均高于CA-ARF组。结论 HA-ARF病因复杂,感染、药物、手术、肾脏低灌注是引起HA-ARF主要原因。
Objective To discuss the etiology of hospital-acquired acute renal failure（HA-ARF）and its related factors.Methods To retrospectively analyze 164 cases of ARF in the past 6 years,patients were divided into two group：HA-ARF group（n=65） and community-acquired ARF（CA-ARF）（n=99）.Results Compared with CA-ARF group,the ratio of average-age and merge with multiple organ failure（MOF）was significantly higher in the HA-ARF group（P0.01）.The main cases of HA-ARF derives from intensive care unit（ICU）,infection was the most important factors（30.8%）,then nephrotoxicity drug（23.1%）,operation（21.5%）and kidney hypoperfusion（15.8%）;The mortality incorporating with MOF was 35.38%,higher than CA-ARF.Conclusion The etiology of HA-ARF is complicated,the major causes of hospital-acquired ARF are infections,drugs,operations and low renal perfusion.
出处
《重庆医学》
CAS
CSCD
北大核心
2011年第27期2747-2748,共2页
Chongqing medicine
