A Study of 500 Cases of Acute Renal Failure (1978-1991)
作者:
FirmatJ.,
ZucchiniA.,
MartinR.,
AguirreCristina,
期刊:
Renal Failure
(Taylor Available online 1994)
卷期:
Volume 16,
issue 1
页码: 91-99
ISSN:0886-022X
年代: 1994
DOI:10.3109/08860229409044850
出版商: Taylor&Francis
数据来源: Taylor
摘要:
A retrospective study of 500 consecutive cases of acute renal failure (ARF) in a period covering 1978 through 1991 is presented. A total of 316 females and 182 males with an average age of 46.4 years (14 to 84) had a global survival rate of 68%. Oligoanuric ARF was present in 77% of the patients and, except in 13 cases, all were dialyzed with varied techniques. The treatment plan consisted of early and repetitive dialysis, rational use of antibiotics, and parenteral and/or oral nutritional support. The patients have been divided into three main categories according to etiology: gyneco-obstetric, medical, and postsurgical cases, the latter having the poorest survival rate, With regard to ARF post-septic abortion, we strongly believe that a hysterectomy should not be carried out except in the presence of gangrene or proven uterine perforation, as surgery increases the morbomortality rate in these septic patients.
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