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为了解梗阻性黄疸患者术后发生肾功能衰竭的原因，预防术后肾衰发生，对１９８４～１９９３年收治的接受手术治疗的梗阻性黄疸患者６７例进行分析。６７例中发生术后肾功能衰竭１３例（１９４％），其中死亡６例（４６２％）。１３例梗阻性黄疸患者术后发生肾功能衰竭主要因素有：①患者的年龄偏大；②术前肾功能基础较差；③胆道感染；④手术时间过长；⑤黄疸程度过高。提出预防措施：①术前纠正肾功能异常；②预防性应用抗生素；③术前采取适当减黄措施；④尽量缩短手术时间
To understand the causes of postoperative renal failure in patients with obstructive jaundice and to prevent the occurrence of postoperative renal failure, 67 patients with obstructive jaundice admitted to our hospital from 1984 to 1993 were analyzed. In 67 cases, 13 cases (19.4%) had postoperative renal failure, of which 6 died (46.2%). 13 cases of obstructive jaundice in patients with renal failure occurred after the main factors are: ① patients older; ② poor preoperative renal function; ③ biliary tract infection; ④ surgery time is too long; ⑤ degree of jaundice. Proposed preventive measures: ① preoperative correction of renal dysfunction; ② prophylactic antibiotics; ③ preoperative measures to reduce the yellow; ④ try to shorten the operation time