肾前性

结果在导致ARF的各种原因中，肾前性因素占的321%，感染及创伤控制欠佳共占393%以及肾毒性药物的不当使用占143%，合计占857%。

Results Among various causes , prerenal factors accounted for 32.1 % , infection and wound of bad control 39.3 % , unreasonable use of nephrotoxic drugs 14.3 % , which totally accounted for 85.7 % .

危重症病人肾前性急性肾衰竭的临床及预后分析

Clinical analysis and prognosis of prerenal acute renal failure in critically ill patients

本组总病死率为26%（52/200），其中以肾前性病因所致ARF病死率最高占36.5%（38/104）。

The total mortality of ARF was 26 % while the mortality of pre-renal ARF was 36.5 % ( 38 / 104 ) .

分析肾前性、肾实质性和肾后梗阻性ARF的各种病因，并对肾实质性ARF的病理及临床以及老年ARF的病因、临床特点、转归与死亡原因进行重点分析。

It was emphasis analyzed about pathology and clinic of renal parenchymal ARF , Etiology , clinical manifestation , prognosis , cause of death of acute renal failure in the elderly .

结果ARF有肾前性因素者达7814%，单纯肾实质性病变占2045%，肾后性原因仅占114%；

Results ARF patients with pre-renal reasons were 78 41 % , single renal cortex and / or medullary disease leading to ARF were 20 45 % , post-renal reason was only 1.14 % ;

肾前性ARF20例，感染特别是急性胃肠炎占很大比重。

Infective diseases , especially acute gastroenteritis , were major causes of pre-renal ARF .

医源性ARF90例，占335%，病因为外科手术后和肾前性因素以及药物因素。

90 ( 33 5 % ) patients were iatrogenic ARF caused by post operation , pre renal factors and drugs .

肾前性ARF5例（6.1%），肾小管间质病变72例（88.9%），肾小球血管病变和肾内梗阻各2例（2.5%）。

Patients were belong to pre renal ARF ( 6.1 % ), 72 cases renal parenchymal ARF ( 88.9 % ) and 2 cases ( 2.5 % ) glomerulo vascular lesions and intra renal obstruction respectively .

肾前性因素是引起急性肾损伤的主要病因；尿路感染中以单纯性尿路感染最为常见，同时糖尿病患者易合并尿路感染。

The main causes of acute renal failure injury was pre-renal , simple urinary tract infections is the most common . Also , the study indicated that diabetic patients were susceptible to urinary tract infection . 2 .

2例膀胱肿瘤全切术后无尿，因术中低血压而疑肾前性肾功能衰竭，结果为输尿管梗阻所致。

Oliguria or anuria ; In 2 cases with total cystectomy , prerenal renal failure was regarded as the cause of anuria because of the lower blood pressure during the operation , in fact , obstruction of ureter resulted in anuria .

同种异体肾移植前活动性CMV感染及其影响

Active cytomegalovirus infection before renal transplantation and it 's affection on the patients

肾实质性ARF203例（70.5%），其中85例（41.9%）肾实质性ARF是由明确的肾前性因素发展而来。

203 cases were renal parenchymal with 85 cases ( 41.9 % ) confirmed to be ARF development from pre-renal factors .