A STUDY OF 500 CASES OF ACUTE-RENAL-FAILURE (1978-1891)

被引：14

作者：

FIRMAT, J ^{[1
]}

ZUCCHINI, A ^{[1
]}

MARTIN, R ^{[1
]}

AGUIRRE, C ^{[1
]}

机构：

[1] UNIV NACL BUENOS AIRES,FAC MED,INST INVEST MED,BUENOS AIRES,DF,ARGENTINA

来源：

RENAL FAILURE | 1994年 / 16卷 / 01期

关键词：

D O I：

10.3109/08860229409044850

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

A retrospective study of 500 consecutive cases of acute renal failure (ARF) in a period covering 1978 through 1991 is presented. A total of 316 females and 182 males with an average age of 46.4 years (14 to 84) had a global survival rate of 68%. Oligoanuric ARF was present in 77% of the patients and, except in 13 cases, all were dialyzed with varied techniques. The treatment plan consisted of early and repetitive dialysis, rational use of antibiotics, and parenteral and/or oral nutritional support. The patients have been divided into three main categories according to etiology: gyneco-obstetric, medical, and postsurgical cases, the latter having the poorest survival rate. With regard to ARF post-septic abortion, we strongly believe that a hysterectomy should not be carried out except in the presence of gangrene or proven uterine perforation, as surgery increases the morbomortality rate in these septic patients.

引用

页码：91 / 99

页数：9

共 16 条

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