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老年人尿毒症常被认为是不可逆的肾脏损害。因此,忽略了可逆原因的治疗,而急于透析甚至肾移植,丧失了肾功能逆转的时机。我们调查了近7年来我院收治的60岁以上的尿毒症患者86例。其中16例在纠正可逆因素后缓解。可逆转原因与原发病、发生肾衰时间、及纠正可逆因素的及时性有关。其中狼疮性肾炎、梗阻性肾病及高血压肾病缓解率最为显著。表明老年人尿毒症的可逆性应被重视,不应急于替代治疗,应积极治疗
Uremia in the elderly is often considered irreversible renal damage. Therefore, ignoring the reversible causes of treatment, and anxious to dialysis and even kidney transplantation, lost the opportunity to reverse renal function. We investigated 86 cases of uremia patients over the age of 60 admitted to our hospital in the past 7 years. 16 of them were relieved after reversible factors were corrected. Reversible causes and primary disease, the occurrence of renal failure time, and to correct the timeliness of reversible factors. Among them, lupus nephritis, obstructive nephropathy and hypertensive nephropathy have the most obvious remission rate. Show that the reversibility of uremia in the elderly should be taken seriously, not in urgent need of alternative treatment, should be actively treated