Guly U M, Turney J H
Renal Unit, General Infirmary, Leeds, UK.
Clin Nephrol. 1990 Aug;34(2):79-83.
Eighty patients with acute renal failure secondary to trauma treated between 1956 and 1988 are reviewed. The overall mortality was 46.3%. Factors associated with increased mortality were age, high Injury Severity Score, and injury to the abdomen and pelvic contents. The number of injuries, the delay between injury and the institution of dialysis, and the level of urea on starting dialysis did not affect mortality. The declining incidence of traumatic acute renal failure highlights the importance of prompt effective resuscitation of injured patients.
对1956年至1988年间接受治疗的80例创伤继发急性肾衰竭患者进行了回顾性研究。总体死亡率为46.3%。与死亡率增加相关的因素包括年龄、高损伤严重度评分以及腹部和盆腔脏器损伤。损伤数量、受伤至开始透析的延迟时间以及开始透析时的尿素水平均不影响死亡率。创伤性急性肾衰竭发病率的下降凸显了对受伤患者进行迅速有效复苏的重要性。
