HEMODIALYSIS FOR ACUTE-RENAL-FAILURE IN PATIENTS WITH HEMATOLOGIC MALIGNANCIES

被引：49

作者：

LANORE, JJ ^{[1
]}

BRUNET, F ^{[1
]}

POCHARD, F ^{[1
]}

BELLIVIER, F ^{[1
]}

DHAINAUT, JF ^{[1
]}

VAXELAIRE, JF ^{[1
]}

GIRAUD, T ^{[1
]}

DREYFUS, F ^{[1
]}

DREYFUSS, D ^{[1
]}

CHICHE, JD ^{[1
]}

MONSALLIER, JF ^{[1
]}

机构：

[1] HOP COCHIN, DEPT HEMATOL, F-75014 PARIS, FRANCE

来源：

CRITICAL CARE MEDICINE | 1991年 / 19卷 / 03期

关键词：

HEMATOLOGY; MALIGNANCIES; HEMODIALYSIS; INTENSIVE CARE UNIT; CRITICAL CARE; NEUTROPENIA; LYMPHOMA; RENAL FAILURE; ACUTE; RENAL TRANSPLANTATION; LEUKEMIA; LYMPHOBLASTIC; MYELOBLASTIC;

D O I：

10.1097/00003246-199103000-00011

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objective: To assess the prognosis of patients with hematologic malignancies in acute renal failure who require hemodialysis. Design: Retrospective study. Setting: ICU. Patients: Forty-three consecutive patients. Methods: Prognostic analysis using both univariate and multivariate (stepwise regression) methods. Results: Fifteen (35%) patients recovered from acute renal failure and 12 (28%) were discharged from the ICU. The prognosis of patients with acute renal failure linked to sepsis is poorer than the prognosis of the patients with acute renal failure from other etiologies. Only one patient survived in the former group (n = 26) and 11 in the latter group (n = 17); p < .0001 in multivariate analysis. When accompanied by associated respiratory failure, mortality rate was higher (93% vs. 33%; p < .0001). The Simplified Acute Physiology Score (SAPS) calculated within the first 24 hr of admission was significantly (p < .001) related to mortality when the SAPS was greater-than-or-equal-to 13. The presence of neutropenia and the type of hematologic malignancy were not related to a worse prognosis. Tolerance to hemodialysis appeared good, and complications were rare. (Crit Care Med 1991; 19:346)

引用

页码：346 / 351

页数：6

共 29 条

[1] SHORT-TERM OUTCOME AMONG PATIENTS WITH LEUKEMIA AND LYMPHOMA ADMITTED TO A MEDICAL INTENSIVE-CARE UNIT [J].