Muhammad Yousaf Shah, Muhammad Waseem Bhatti, Tufail Muhammad.
Acute renal failure in surgical patients.
Professional Med J Jan ;4(4):349-53.

OBJECTIVES: 1. To highlight the occurrence of Acute Renal Failure (ARF) in surgical patients. 2. To identify high-risk patients. DESIGN: Retrospective study. SETTING: Department of Surgery Allied Hospital Faisalabad. PERIOD: June 95 to May 96. PATIENTS AND METHODS: 21 patients 11 males (52.38%) and 10 females (47.62%) including 2 children both males (9.52%) Their ages ranged between 8 to 63 years. (Mean 35.5 years). 6 patients (28.57%) presented in acute renal failure (ARF) on admission, whereas the remaining 15 patients (71.43%) developed Acute Renal Failure (ARF) in. the postoperative period. RESULTS: 15 patients (71.43%) went into ARF in the postoperative period. Out of these, 8 patients (overall 38.10%) had surgery for malignant disease, 1 patient (4.76% overall) had surgery for obstructive jaundice and 6 patients (28.57% overall) had surgery for kidney/ ureteric stones. The remaining group of patients who presented with ARF on admission included "Crush Syndrome" following skeletal/ soft tissue trauma, 3 patients (14.28%), obstructive uropathy 2 patients (9.52%) and major bums (70%) 1 patient (4.76%). All patients underwent haemodialysis. Six patients (28.57%) died despite active management.

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