Sweet S J, Glenney C U, Fitzgibbons J P, Friedmann P, Teres D
Am J Surg. 1981 Apr;141(4):492-6. doi: 10.1016/0002-9610(81)90146-x.
A retrospective evaluation of the effect of renal and respiratory failure on mortality in our surgical intensive care unit was undertaken. The coexistence of combined renal and respiratory failure had a synergistic adverse effect on survival. Combined pulmonary and kidney failure appeared to develop simultaneously. A subset of patients with severe prerenal azotemia but without uremia had the highest mortality. These results are not consistent with the simple combination of single systems failure but rather suggest that renal and respiratory failure are makers of a generalized underlying defect.
我们对手术重症监护病房中肾衰竭和呼吸衰竭对死亡率的影响进行了回顾性评估。肾衰竭和呼吸衰竭并存对生存率有协同不利影响。肺和肾衰竭似乎同时发生。一部分患有严重肾前性氮质血症但无尿毒症的患者死亡率最高。这些结果与单一系统衰竭的简单组合不一致，而是表明肾衰竭和呼吸衰竭是一种全身性潜在缺陷的标志。
