Narula A S, Bhangui G R
Classified Specialist Medicine & Nephrologist, Army Hospital, Delhi Cantt 110010.
Senior Adviser (Pathology) CPL (EC) Calcutta 700 027.
Med J Armed Forces India. 1994 Apr;50(2):127-130. doi: 10.1016/S0377-1237(17)31014-6. Epub 2017 Jun 27.
A prospective study of 120 patients of acute renal failure was done at CH (EC) Calcutta to document the changing trends in the incidence and etiology of acute renal failure and to assess the prognostic factors. Mean age of patients was 33.7 ± 20.2 years. 75% had a medical risk factor. The etiological factors were volume depletion (13.3%), septicaemia (25.6%), falciparum malaria (16.6%), a transplant related renal failure (5.7%) and drugs (16.7%). Renal histology showed acute tubular necrosis to be the most common lesion (53.3%). In 13.3% patients who died with acute renal failure, associated infection and multisystem involvement was more common.
在加尔各答的CH(EC)对120例急性肾衰竭患者进行了一项前瞻性研究,以记录急性肾衰竭发病率和病因的变化趋势,并评估预后因素。患者的平均年龄为33.7±20.2岁。75%的患者有一个医学风险因素。病因包括容量耗竭(13.3%)、败血症(25.6%)、恶性疟(16.6%)、移植相关肾衰竭(5.7%)和药物(16.7%)。肾脏组织学显示急性肾小管坏死是最常见的病变(53.3%)。在死于急性肾衰竭的13.3%的患者中,合并感染和多系统受累更为常见。