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Of the 60 patients, chronic nephritis 27 cases,acute serious nephritis 3 cases,essential hypertension 9 cases,diabetes 9 cases, multilocular cyst 6 cases,lupus nephritis 6 cases were enrolled. 60 CRF cases with four phase,including the phase of compensation of renal malfunction,the phase of no-compensation of renal insufficiency the phase of azotemia and the phase of renal failure,were divided into three groups.

CRF原发病为慢性肾炎27例、急进性肾炎3例、原发性高血压9例、糖尿病9例、多囊肾6例、狼疮肾6例,把这60例CRF患者根据中华内科杂志编委会肾脏病专业组于1992年6月在安徽太平举办的原发性肾小球疾病分型、治疗及疗效判定专题座谈会的标准分为四期第1期:肾功能不全代偿期、第2期:肾功能不全失代偿期、第3期:肾功能衰竭期、第4期:尿毒症期;本研究分为轻、中、重症(肾功能衰竭期及尿毒症期)3组来对照观察。

Results摘要: The incidence rates of renal dysfunction, shock, cardiovascular failure and gastrointestinal hemorrhage, the score of acute physiology and chronic health evaluation Ⅱ and the frequencies of pulse and breath in the severe hypoalbuminemia group were all higher than those in the mild hypoalbuminemia group (P<0.05 or P<0.01). The differences of incidence rate of hepatic failure and the scores of Ranson and Balthazar CT between these two groups had no statistical significance (P>0.05). The incidence rate of infection and the mortality in the severe hypoalbuminemia group were higher than those in the mild hypoalbuminemia group (P<0.01) in the later stage of SAP.

结果摘要:重度低白蛋白血症组肾功能衰竭、休克、心衰及消化道出血的发生率高于轻度低白蛋白血症组(P<0.01,肝功能衰竭发生率两组比较无统计学差异;Ranson评分及Balthazar CT评分两组间比较,差异无统计学意义(P>0.05);重度低白蛋白血症组的急性生理和慢性健康评价指标Ⅱ(acute physiology and chronic health evaluationⅡ, APACHEⅡ)评分、脉搏和呼吸频率均明显高于轻度低白蛋白血症组(P<0.05或P<0.01;重度低白蛋白血症组后期感染发生率及病死率均高于轻度低白蛋白血症组

The differences of incidence rate of hepatic failure and the scores of Ranson and Balthazar CT between these two groups had no statistical significance (P>0.05). The incidence rate of infection and the mortality in the severe hypoalbuminemia group were higher than those in the mild hypoalbuminemia group (P<0.01) in the later stage of SAP. Conclusion: Hypoalbuminemia in the early stage can accelerate the deterioration in pathophysiology of SAP.

结果:重度低白蛋白血症组肾功能衰竭、休克、心衰及消化道出血的发生率高于轻度低白蛋白血症组(P<0.01,肝功能衰竭发生率两组比较无统计学差异;Ranson评分及Balthazar CT评分两组间比较,差异无统计学意义(P>0.05);重度低白蛋白血症组的急性生理和慢性健康评价指标Ⅱ(acute physiology and chronic health evaluationⅡ, APACHEⅡ)评分、脉搏和呼吸频率均明显高于轻度低白蛋白血症组(P<0.05或P<0.01;重度低白蛋白血症组后期感染发生率及病死率均高于轻度低白蛋白血症组

We have salvaged and treated many emergency and critical disease which conclude cardiac arrest, acute myocardial infarction with shock, malignant cardiac arrhythmia, septic shock, massive gastrointestinal hemorrhage, massive emptysis, severe respiratory failure, acute respiratory distress syndrome, diabetic ketoacidosis, hyperosmolar coma, severe pancreatitis and multiple organ failure .

曾多次成功地进行了心肺复苏、急性心肌梗塞合并休克、恶性心律失常、感染中毒性休克、消化道大出血、大咯血、严重呼吸衰竭、急性呼吸窘迫综合征、酮症酸中毒和高渗性昏迷、重症胰腺炎及多器官功能衰竭等急重症的抢救和治疗。

Halitosis may follow eructation from the GI tract or may be caused by systemic metabolic conditions--eg, an a cet one odor with diabetes mellitus, a mousy odor with liver failure, and a urinous odor with kidney failure.

口臭也可随胃肠道的嗳气而来或由系统性代谢性疾病引起,也即丙酮味与糖尿病有关,鼠臭味与肝功能衰竭有关,尿味与肾功能衰竭有关。

Halitosis may follow eructation from the GI tract or may be caused by systemic metabolic conditio --eg, an acetone odor with diabetes mellitus, a mousy odor with liver failure, and a urinous odor with kidney failure.

口臭也可随胃肠道的嗳气而来或由系统性代谢性疾病引起,也即丙酮味与糖尿病有关,鼠臭味与肝功能衰竭有关,尿味与肾功能衰竭有关。

Ulinastatin intervention in bronchoscope bronchial lavage joint mechanical ventilation had further improved influence on pneumodynamics, arterial blood gas and hemodynamics than bronchoscope bronchial lavage joint mechanical ventilation.

纤维支气管镜联合机械通气乌司他丁干预能进一步改善胸腹部手术后急性呼吸功能衰竭患者的呼吸力学、动脉血气及血流动力学指标,并在防治MODS及降低急性呼吸衰竭患者病死率上有显著临床效果。

At the time of consultation, advanced age, oliguria, hepatic failure, respiratory failure, sepsis, and thrombocytopenia were associated with mortality.

研究的同时发现,老年,少尿,肝衰竭,呼吸衰竭,败血症和血小板减少症与死亡率相关。

Results: The causes of 56 patients who died were as follows: 29 patients died from the complication of respiratory system,11 patients died from anastomotic leaking,6 patients died from hemorrhagic shock,3 patients died from multiple organ failure, 3 patients died from whole body failure caused by chylopleura, 1 patient died from empyema and gastric necrosis, 1 patient died from sudden cardiac death, 1 patient died from heart failure, 1 patient died from strangulating intestinal obstruction and toxic shock caused by diaphragmatic hernia.

结果:56例死亡患者的死亡原因:肺部并发症29例(51.8%),吻合口瘘11例(19.6%),失血性休克6例(10.6%),多器官功能衰竭3例(5.4%),乳糜胸致全身衰竭3例(5.4%),胃后坏死、脓胸1例(1.8%),心脏性猝死1例(1.8%),心力衰竭1例(1.8%),膈疝引起绞窄性肠梗阻中毒性休克1例(1.8%)。

This can cause serious long-term damage such as heart failure and liver failure.

这可能会导致严重的长期损害,如心脏衰竭和肝功能衰竭。

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