我院1987年以来应用血液透析治疗14例急性肾功能衰竭(ARF),现报告如下。临床资料14例中男10例,女4例。年龄13～60岁,平均34岁。原发病:生鱼胆中毒、流行性出血热、毒蛇咬伤各3例,急性肾炎、感染性休克各2例,挤压综合征1例。透析前的临床表现全部病例都有显著的食欲不振、恶心、呕吐,神志恍惚、躁动3例,昏迷2例。合并消化道出血5例。所有病人均有不同程度的无尿及少尿表现,截至透析开始日止,无尿及少尿期平均4.5天(3～9天),其中无尿者4例。实验室检查: Since 1987, our hospital hemodialysis treatment of 14 cases of acute renal failure (ARF), are as follows. 14 cases of clinical data in 10 males and 4 females. Age 13 to 60 years old, average 34 years old. Primary disease: raw fish gallbladder poisoning, epidemic hemorrhagic fever, snake bites in 3 cases, acute nephritis, septic shock in 2 cases, crush syndrome in 1 case. Pre-dialysis clinical manifestations All cases have significant loss of appetite, nausea, vomiting, trance, agitation in 3 cases, coma in 2 cases. Combined gastrointestinal bleeding in 5 cases. All patients had different degrees of anuria and oliguria, as of dialysis start date, anuria and oliguria average 4.5 days (3 to 9 days), of which 4 cases of anuria. Laboratory examination: