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[急性肾衰竭的治疗]

[Treatment of acute kidney failure].

作者信息

Lachhein L

出版信息

Z Gesamte Inn Med. 1978 Jun 1;33(11):335-40.

PMID:356440
Abstract

By the rapid development of the chronic haemodialysis and the transplantation of kidneys the treatment of the acute renal failure is not so often dealt with in literature, though the haemodialysis since its clinical use in 1944 for 15 years exclusively has been used for the treatment of acute renal failure. Alarming reports on the increase of the mortality up to 80% were the cause to deal with treatment and developmental tendencies in form of a survey. The conclusions were that during the last 6 years in the GDR annually about 300 cases of acute renal failure are constantly treated. The total mortality rate is without any essential variations on an average about 44.9%. In comparison to international statistics these figures are remarkably good. According to the basic etiological cause of the acute renal failure the mortality rate varies between 60% in surgical diseases and about 30% in intoxications with uraemia. Apart from these analyses the author enters indication, causes and prognosis in form of a summary.

摘要

随着慢性血液透析和肾脏移植的迅速发展,急性肾衰竭的治疗在文献中较少被提及,尽管自1944年血液透析临床应用的15年里一直专门用于治疗急性肾衰竭。关于死亡率高达80%的惊人报告促使人们以综述的形式探讨治疗方法和发展趋势。结论是,在过去6年中,民主德国每年持续治疗约300例急性肾衰竭病例。总死亡率平均约为44.9%,无任何显著变化。与国际统计数据相比,这些数字相当不错。根据急性肾衰竭的基本病因,死亡率在外科疾病中为60%,在尿毒症中毒中约为30%。除了这些分析之外,作者还以总结的形式阐述了适应症、病因和预后。

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