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| Analysis of Clinical Features and Prognosis of 46 Children Patients With Chronic Renal Failure |
| Guo Nan |
| Pediatric Intensive Care Unit,Children’s Hospital of Kaifeng City,Kaifeng 475000,China |
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Abstract Objective To investigate the clinical features and prognosis of 46 children patients with chronic renal failure（CRF）. Methods A retrospective analysis was performed on 46 children patients with CRF admitted to this hospital between May 2017 and April 2020.According to whether the prognosis was good,they were divided into the experimental group（23 cases,poor prognosis）and the control group（23 cases,good prognosis）.The clinical features and related influencing factors of prognosis were compared between the two groups of children patients with CRF. Results Among 46 children patients with CRF,there were 5 cases（10.87%）of unknown etiology and 41 cases（89.13%）of definite etiology.22 cases received symptomatic treatment（47.83%）,10 cases received renal transplantation（21.74%）and 14 cases received dialysis treatment（30.43%）.Common symptoms included 15 cases of vomiting（32.61%）,23 cases of edema（50.00%）,31 cases of anorexia（67.39%）and 30 cases of asthenia（65.22%）.The incidence rates of oliguria,edema,hyperkalemia,hyperchloremia,hyperphosphatemia,massive proteinuria and water-sodium retention of children patients with CRF in the experimental group were higher than those in the control group（P<0.05）.The application rate of renal transplantation was lower than that in the control group（P<0.05）.The dependent variable was whether the prognosis was good among children patients with CRF.Multivariate analysis found that hyperkalemia,hyperphosphatemia,massive proteinuria,water-sodium retention and renal transplantation were correlated with prognosis of children patients with CRF（P<0.05）. Conclusion Children patients with CRF will have a variety of clinical symptoms after the onset of the disease.The influencing factors of prognosis are hyperkalemia,hyperphosphatemia,massive proteinuria,water-sodium retention and renal transplantation.It is necessary to focus on the above factors to do symptomatic prevention and treatment in clinical practice.
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Received: 01 December 2020
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[1] 姚洁,诸伟红,葛玉英,等.慢性肾功能衰竭血液透析患者医院感染病原菌分布与临床特征分析[J].中华医院感染学杂志,2015,25(10):2210-2212.
[2] 孙伟,霍艳明,黄琛.慢性心力衰竭合并肾功能不全患者临床特征的回顾性研究[J].现代中医临床,2017,24(1):35-38.
[3] 申华,秦政,周玉杰,等.冠状动脉粥样硬化性心脏病合并慢性肾功能不全患者临床特征和经皮冠状动脉介入围术期急性肾损伤发生情况及远期预后评估[J].中国医药,2019,14(6):801-805.
[4] 钱桐荪.肾脏病学(3版)(精)[M].北京:华夏出版社,2004.
[5] Zhang W,Xue F,Wang C,et al.Clinical features and prognostic factors of ten patients with renal failure caused by IgG4-related retroperitoneal fibrosis[J].Oncotarget,2018,9(2):2858-2865.
[6] 陈罡,叶文玲,秦岩,等.老年急性肾衰竭患者临床特点分析[J].中国血液净化,2016,15(3):164-167.
[7] 杨萍萍. 小儿慢性肾衰竭的临床特点及误诊原因分析[J].中国中西医结合肾病杂志,2017,18(12):1101-1103.
[8] 谢才德,兰蓝,罗婷,等.慢性肾功能不全并发社区获得性肺炎的临床特点分析[J].重庆医学,2017,46(8):1120-1122. |
| [1] |
Zhao Shuai. Clinical Effect of Invasive-Noninvasive Sequential Mechanical Ventilation on Patients With Severe Chronic Obstructive Pulmonary Disease and Respiratory Failure[J]. journal1, 2021, 41(6): 6-8. |
| [2] |
. [J]. journal1, 2021, 41(6): 49-50. |
| [3] |
. [J]. journal1, 2021, 41(6): 43-44. |
| [4] |
. [J]. journal1, 2021, 41(6): 117-118. |
| [5] |
Jiang Dongya. The Significance of Ultrasonic Aspect Ratio in Papillary Rhyroid Carcinoma With Different Maximum Diameters[J]. journal1, 2021, 41(5): 38-40. |
| [6] |
. [J]. journal1, 2021, 41(5): 87-88. |
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2021, Vol. 41 
