Iknomovski J, Majster Z
Institute for Kidney Diseases, Zvezdara Clinical Centre, Beograd.
Srp Arh Celok Lek. 1996;124 Suppl 1:162-4.
106 patients with acute renal failure (ARF) treated with peritoneal dialysis (PD) for the last 15 years (except for postrenal ARF treated only with HD, or ARF with conservative treatment) were analyzed. The commonest causes were sepsis (3), hemorrhagic fever (17) and complications of some internal or surgical disease (28). ARF appeared more frequently in older ages (> 50 y). Some causal diseases had closer relationship with sex like sepsis (22 women vs 8 men) and hemorrhagic fever (16 men vs 1 woman). The treatment was started on time (2-3 day after onset of ARF). In most of the patients stabilization of uremic symptoms was achieved in five days (average). The duration of oliguric phase, polyuric phase and treatment with PD where closely related to the causal disease. Mortality of ARF was 60% in patients with causal disease. Mortality of ARF was 60% in patients with surgical or internal complications, in patients with sepsis and 20-30% in others (complications during ARF were most frequently observed in patients with sepsis). Hemodialysis was used in severe cases and we were unable to determine its role in survival of patients with ARF.
对过去15年中接受腹膜透析（PD）治疗的106例急性肾衰竭（ARF）患者（不包括仅接受血液透析（HD）治疗的肾后性ARF或接受保守治疗的ARF）进行了分析。最常见的病因是败血症（3例）、出血热（17例）以及一些内科或外科疾病的并发症（28例）。ARF在老年患者（>50岁）中更为常见。一些病因性疾病与性别关系更为密切，如败血症（女性22例，男性8例）和出血热（男性16例，女性1例）。治疗在ARF发病后2至3天及时开始。大多数患者在五天内（平均）实现了尿毒症症状的稳定。少尿期、多尿期的持续时间以及PD治疗时间与病因性疾病密切相关。病因性疾病患者中ARF的死亡率为60%。手术或内科并发症患者、败血症患者中ARF的死亡率为60%，其他患者（ARF期间的并发症最常见于败血症患者）中为20%至30%。严重病例使用了血液透析，我们无法确定其在ARF患者生存中的作用。
