食管癌术后急性肾衰竭的临床分析

为了探讨食管癌术后急性肾衰竭发生的原因及防治经验,回顾性分析13例术后发生急性肾衰竭食管癌患者的临床资料,并总结防治体会。结果显示患者平均年龄67.5岁,体重50.4千克,皆有严重的吞咽梗阻症状,其中8例术前发现低蛋白血症,3例术前有不同程度的肾功能不全;术后3天内出现急性肾衰竭,治疗纠正肾前性病因、利尿和改善肾血流灌...

Clinical Analysis of Acute Renal Failure after Surgery for Esophageal Cancer

To investigate the causes and experience of treatment for acute renal failure following the surgery for esophageal cancer,the clinical data of 13 patients with acute renal failure after surgery for esophageal cancer were retrospectively reviewed.The average age of patients was 67.5,and the mean weight was 50.4 kg.All patients had severe obstructive symptom,8 of 13 patients with hypoproteinemia and 3 of 13 patients with renal dysfunction were detected preoperatively.Acute renal failure was followed in three days after operation.Treatment included correction of possible prerenal causes,diuretic drugs and improvement of renal perfusion and so on.Four of 13 patients underwent blood purification.Ten cases were cured and 3 cases improved markedly and were discharged.The conclusions include that hypovolemia and malnutrition are the important causes of acute renal failure following the surgery for esophageal cancer,and correction of possible prerenal causes,improvement of renal perfusion and adequate blood purification can contribute to its treatment.