Martínez Vea A, Nadal P, Parés A, Nogué S, Mas A, Bertrán A, Millá J
Med Clin (Barc). 1981 Sep 25;77(5):190-4.
Oliguric and non-oliguric acute renal failure was studied in a group of 28 high risk patients in an intensive care unit. Of these, 15 (53.5%) presented oliguric and 13 (46.4%) non oliguric acute renal failure. Causal agents of the renal failure were postoperative in 14 cases, mainly peritonitis; medical in 10 and posttraumatic in 4. Oliguric renal failure was most commonly medical, while non-oliguric renal failure was predominantly postoperative in origin (p less than 0.05). Results of urinalysis indicative of renal failure were similar in both groups: NAO, osmolarity, FeNa, BUN o/p and creatinine o/p, as were degree and course of renal failure, and the appearance of complications and indications for dialysis. There was no significant difference in mortality rate between oliguric (93%) and non-oliguric (85%) patients; total mortality was 89%. The results of this study clearly show that non-oliguric acute renal failure carries the same poor prognosis in high risk patients in intensive care units as do the oliguric forms of the entity.
在一个重症监护病房中，对一组28例高危患者的少尿型和非少尿型急性肾衰竭进行了研究。其中，15例（53.5%）出现少尿型急性肾衰竭，13例（46.4%）出现非少尿型急性肾衰竭。肾衰竭的病因中，术后因素导致的有14例，主要为腹膜炎；内科因素导致的有10例，创伤后因素导致的有4例。少尿型肾衰竭最常见的病因是内科因素，而非少尿型肾衰竭主要源于术后因素（p<0.05）。两组提示肾衰竭的尿液分析结果相似：尿钠、渗透压、滤过钠排泄分数、血尿素氮/尿尿素氮以及肌酐清除率，肾衰竭的程度和病程、并发症的出现情况以及透析指征也相似。少尿型患者（93%）和非少尿型患者（85%）的死亡率没有显著差异；总死亡率为89%。本研究结果清楚地表明，在重症监护病房的高危患者中，非少尿型急性肾衰竭与少尿型急性肾衰竭的预后同样不佳。
