【摘要】 目的 探讨儿童各年龄组急性肾功能衰竭(ARF)的病因类型，及其与预后的关系。方法 回顾分析本院38例急性肾功能衰竭病人的病因及预后。结果 感染、肾毒药物和原发肾脏疾病成为引起儿童ARF最常见的致病因素。其中感染在婴幼儿包括新生儿ARF所占比例相对大;而肾毒药物性ARF在2岁以上儿童的比例相对较大，预后相对好。新生儿ARF预后差，病死率高;原发肾脏疾病及合并多器官功能障碍综合征(MODS)者预后较差。结论 重视基础性疾病的诊治，加强预防。肾毒药物性ARF不容忽视，具有原发肾脏疾病的ARF的预后还有待提高。

    关键词 儿童 急性肾功能衰竭 病因学

    Analysis of etiology for acute renal failure in38patients of children

    Yang You，Fang Mingjun，Zhu Guanghua，et al.

    Shanghai Children’s Hospital Affiliated to Shanghai Jiaotong University，Shanghai200092

    【Abstract】 Objective To explore the causal types and the relation between causes and prognosis of acute renal failure(ARF)in children patients.Methods Causes and prognosis of ARF were retrospectively analyzed in38patients of our hospital.Results There was great proportion in neonates and infants with ARF caused by infection ......