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[多发伤患者的急性肾衰竭]

[Acute kidney failure in patients with multiple injuries].

作者信息

Kunz A, Glinz W, Keusch G, Binswanger U

出版信息

Schweiz Med Wochenschr. 1984 Jun 16;114(24):876-9.

PMID:6740304
Abstract

19 patients suffering from posttraumatic acute renal failure were treated by hemodialysis at least three times a week and sometimes daily. In addition to trauma and acute renal failure (arf), all patients had various other posttraumatic complications. The overall mortality within 12 months from trauma was 84%. The high mortality rate was due mainly to the extent of injury and the occurrence of life-threatening complications, above all sepsis. Whether or not these basic problems are aggravated by arf, the overall results of the treatment call for careful establishment of the indications for these laborious and expensive therapeutic measures.

摘要

19例创伤后急性肾衰竭患者接受了每周至少3次、有时甚至每日1次的血液透析治疗。除创伤和急性肾衰竭(arf)外,所有患者还伴有各种其他创伤后并发症。创伤后12个月内的总死亡率为84%。高死亡率主要归因于损伤程度和危及生命的并发症的发生,尤其是脓毒症。无论arf是否会加重这些基本问题,治疗的总体结果都需要仔细确定这些费力且昂贵的治疗措施的适应证。

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