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目的 探讨慢性肾功能不全 (CRF)患者临床特点及其防治措施。方法 回顾性分析 2 2 3例死亡患者的临床资料。结果 导致慢性肾功不全死亡的前 3位原发疾病依次是慢性肾小球肾炎、糖尿病肾病与高血压肾病。直接死亡原因主要有多系统器官功能衰竭 (MOSF)、心衰、严重感染、电解质紊乱等。结论 对慢性肾功不全患者应早期诊断治疗原发疾病 ,防治MOSF ,积极抗感染 ,控制心衰呼衰 ,调节水电解质及酸碱平衡 ,及时充分透析。
Objective To investigate the clinical features of chronic renal insufficiency (CRF) and its prevention and treatment. Methods The clinical data of 223 death patients were retrospectively analyzed. Results The first three primary diseases that caused the death of chronic renal insufficiency were chronic glomerulonephritis, diabetic nephropathy and hypertensive nephropathy. The main causes of death are multiple system organ failure (MOSF), heart failure, severe infection, electrolyte disorders. Conclusion Patients with chronic renal insufficiency should be diagnosed early treatment of primary disease, prevention and treatment of MOSF, active anti-infection, heart failure control respiratory failure, regulate water and electrolyte and acid-base balance, timely and adequate dialysis.