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[目的]通过分析急性肾功能衰竭(ARF)预后的影响因素,为临床治疗及评估预后提供参考。[方法]收集四川大学华西医院近年来的ARF病例127例,分为治愈组、好转组、无效组和死亡组。分析年龄、性别、基础疾病、脏器衰竭数、尿量、血肌酐、血尿素氮、蛋白尿等因素对患者预后的影响。[结果]高龄、有基础疾病、脏器衰竭数多等均提示预后差,而发病时蛋白尿水平低及非少尿型ARF提示预后好。[结论]尽早发现ARF,消除诱因,是减少ARF病死率的关键。
[Objective] To analyze the influencing factors of the prognosis of acute renal failure (ARF) and provide reference for clinical treatment and prognosis evaluation. [Methods] A total of 127 ARF cases were collected from West China Hospital of Sichuan University in recent years. The ARF patients were divided into three groups: cure group, improvement group, ineffective group and death group. Analysis of age, gender, underlying diseases, organ failure, urine output, serum creatinine, blood urea nitrogen, proteinuria and other factors on the prognosis of patients. [Results] Older age, with underlying diseases, multiple organ failure and so on all suggested that the prognosis was poor. However, the low level of proteinuria and non-oliguric ARF at the time of onset suggested that the prognosis was good. [Conclusion] The early detection of ARF and elimination of incentives are the keys to reduce ARF mortality.