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目的探讨急性肾功能衰竭早期诊治中的成功经验、失败教训以及发病过程中一些带规律性的东西。方法对2003年9月至2007年9月收治的急性肾功能衰竭23例进行回顾性分析。结果23例病例中,诊治成功的10例是因为做到了早期发现、早期治疗,诊断正确、治疗适当;9例在鉴别诊断中出现失误,错过了早期治疗的有利时机,肾功能恢复不同程度受到影响,从疗时长、恢复慢到不可逆,甚至死亡;其余4例虽然诊治没有失误,但由于病情严重,无可挽回。结论急性肾功能衰竭恢复的关键在于早期发现、早期治疗,准确诊断病因、对症治疗尤为重要。
Objective To explore the successful experience of early diagnosis and treatment of acute renal failure, the lessons of failure and some regularity during the course of the disease. Methods A retrospective analysis of 23 cases of acute renal failure admitted from September 2003 to September 2007 was performed. Results Of the 23 cases, 10 cases were successfully diagnosed and treated because of early detection, early treatment, correct diagnosis and proper treatment. Nine cases had errors in differential diagnosis, missed the favorable timing of early treatment, and received varying degrees of renal function recovery Influence, from the treatment time, slow to irreversible recovery, or even death; the remaining 4 cases although no mistakes in diagnosis and treatment, but due to serious condition, irreversible. Conclusion The key to the recovery of acute renal failure lies in early detection, early treatment, accurate diagnosis of the cause, and symptomatic treatment is particularly important.