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目的总结大肠恶性肿瘤术后并发急性肾功能衰竭的原因、预防和治疗。方法对2010年1月至2013年1月解放军青岛401医院普外科诊治3例大肠恶性肿瘤术后并发急性肾功能衰竭的临床资料行回顾性分析,并结合国内外文献进行讨论。结果 1例治愈,1例需终生行血液透析替代治疗,1例血液透析半年后失访。结论急性肾功能衰竭是大肠恶性肿瘤术后罕见并发症,处理比较棘手,应注重原发疾病,术后密切检测,及时发现导致急性肾损伤的危险因素,积极治疗是防止发生急性肾功能衰竭的关键。
Objective To summarize the causes, prevention and treatment of acute renal failure complicated with malignant colorectal cancer. Methods The clinical data of 3 cases of acute renal failure complicated with malignant colorectal cancer after diagnosis and treatment of 401 surgeries in Qingdao 401 Hospital of PLA from January 2010 to January 2013 were analyzed retrospectively and discussed in domestic and foreign literatures. Results One patient was cured. One patient needed life-long hemodialysis instead of one hemodialysis after one year. Conclusions Acute renal failure is a rare postoperative complication of malignant colorectal cancer. It is difficult to handle. It should pay attention to the primary disease, close examination after operation and timely detection of the risk factors leading to acute renal injury. Active treatment is to prevent the occurrence of acute renal failure The essential.