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本文总结血液透析治疗危重型急性肾衰４４例的经验，全部病例均系少尿型，血尿素氮２５．２～７０．５ｍｍｏｌ／Ｌ，肌酐４２３～１７５２．５μｍｏｌ／Ｌ；主要并发症有高血容量综合征、高钾血症、低钠血症和顽固性休克等；采用桡动脉或足背动脉直接穿刺行血透，方法简捷，成功率高，血透治疗时间平均１７．５小时。结果痊愈３２例（７２．７％），死亡１２例（２６．３％），主要死因为肺水肿、急性左心衰、感染和全身衰竭。同时就血透方法及并发症的处理进行临床分析讨论。
This article summarizes the experience of hemodialysis treatment of 44 cases of critical acute renal failure, all cases were oliguria, blood urea nitrogen 25.2 ~ 70.5mmol / L, creatinine 423 ~ 1752.5μmol / L; the main complications were high Hemorrhagic syndrome, hyperkalemia, hyponatremia and intractable shock; using radial artery or dorsalis pedis artery direct puncture hemodialysis, the method is simple, high success rate, hemodialysis treatment time averaged 17.5 hours. Results 32 cases (72.7%) were cured and 12 died (26.3%). The main causes of death were pulmonary edema, acute left heart failure, infection and systemic failure. At the same time hemodialysis methods and complications of clinical analysis and treatment.