ETIOLOGY, DIAGNOSIS, TREATMENT AND PROGNOSIS OF ACUTE-RENAL-FAILURE IN AN INTENSIVE-CARE UNIT

被引：30

作者：

WERB, R

LINTON, AL

机构：

[1] Department of Medicine, Victoria Hospital, University of Western Ontario, London

来源：

RESUSCITATION | 1979年 / 7卷 / 02期

关键词：

D O I：

10.1016/0300-9572(79)90003-0

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Over a period of 2 years, 82 patients out of 2,390 (3.43%) admitted to an intensive care unit developed acute renal failure (ARF). The diagnosis of ARF was based on the usual criteria of oliguria, a rising blood urea nitrogen and creatinine, urine sodium concentration greater than 20 mmol/l and a U P osmolality ratio less than 1.1. In 9.2% of patients the latter two criteria were misleading. Sepsis was the commonest cause of vasomotor nephropathy but in 20.7% potentially nephrotoxic agents had been administered before development of ARF. Overall mortality was 73.2%, with patients older than 50 years of age having the highest mortality. ARF is associated with prolonged bed occupancy-an average of 59.8 days for the dialysed patients with ARF versus an average length of stay of 8.4 days for the hospital overall. © 1979.

引用

页码：95 / 100

页数：6

共 8 条

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