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急性肾功能衰竭综合征,包括肾前性氮质血症、肾后性氮质血症和由于肾实质疾病所致的急性肾功能衰竭,由于75%的急性肾功能衰竭综合征是由急性肾小管坏死引起,故 ATN 为狭义的急性肾衰。本文重点讨论 ATN 的诊断及治疗,特别强调早期诊断治疗的重要性,在初发期及时给予恰当的药物处理,则 ATN 有可能逆转,或虽不能完全逆转,亦可由少尿型 ATN 转变为多尿型,病情可大为减轻。24～48小时后,如病情重,尿量仍少,多主张采用早期透析疗法。
Acute renal failure syndrome, including prerenal azotemia, postrenal azotemia and acute renal failure due to renal parenchymal disease, since 75% of acute renal failure syndrome is caused by acute kidney failure Tubal necrosis caused, so ATN is a narrow sense of acute renal failure. This article focuses on the diagnosis and treatment of ATN, with particular emphasis on the importance of early diagnosis and treatment, timely and appropriate initial drug treatment, the ATN may reverse, or although not completely reversed, but also from oliguric ATN into more Urine type, the condition can be greatly reduced. 24 to 48 hours later, such as serious illness, urine output is still small, more advocate the use of early dialysis therapy.