Participants in this study were patients with acute renal failure who admitted ViÖt §øc Hospital. It is found that acute nonoliguric renal failure developed in 30% of the patients. It was diagnosed by blood creatinine level as 20 mg/L or 180 micromol/L and renal failure indices RFI  2 and FeNa2. Progress and prognosis of this condition were favorable. Most of patients responded with furosemide. Only a few patients need additional hemodialysis.
Kidney Failure, Acute ; Oliguria

The treatment of renal failure by the artificial kidney comprised hemodialysis, hemofiltration and CAPD. Hemodialysis is not without side effect such as hypotension, dysequilibrium syndrome. Hemodialysis is a treatment of choice in hemodynamic stable patients where fluid overload is not a major problem. When multiorgan failure. Such difficulties have been overcome by the introduction of specific modalities for the treatment of acute renal failure, named continuous artiovenous hemofiltration (CAVH) which have become nowadays a popular renal replacement therapy in the intensive care units.
Kidney Failure, Acute ; surgery ; therapeutics

A study on 104 patients with chronic renal failure due to the obstructed urethral stone has shown that this disease in Vietnam was very severe, the nepthrotic creatinine clearance of 10ml/min occurred in 36 patients. The water, electrolyte and acid-base balance were severe. The recovering ability of morphism and rest function of patients with the chronic renal failure was high. A rest of patients that renal function can not be recovered mainly cause by large renal parenchymal lesions. The rest of nephron was very small that can not meet the function of endothelial balance. The patients should receive the kidney transplantation and periodical hemodialysis.
Kidney Failure, Chronic ; therapeutics

E.coli endotoxin in septic shock causes hypotension, multiple organ dysfunction, and left ventricular change with characteristic of the myocardiac depression. There is no longer any doubt that continuous hemofiltration in the therapies is better tolerated when comparing with intermittent hemodialyin. In the blood, concentration of the myocardial depressant factor was reduced by half in the first hour of extracorporeal removal. Continuous hemofiltration will be used in septic shock as soon as for the patient is oliguric and hemodynamical unstable.
Endophthalmitis ; Wounds and Injuries ; Injuries

CAVH in continuous renal replacement therapy is often regarded as one of most important advances in intensive care medicine in recent years. CAVH has been used widely for patients with acute renal failure combined with cardiovascular instability, severe fluid overload, cerebral edema or hyper catabolism, systemic inflammatory response syndrome and sepsis, acute respiratory distress and cardiopulmonary bypass. The continuous renal replacement therapy has to be started early to prevent multi-organ dysfunction.
Hemofiltration ; Renal Replacement Therapy

A 43 years old age patient with acute renal failure underwent a session of artificial kidney. Anaphylactic shock occurred after 1 hour. For treating, 30 mg of depercolon was injected and the condition was interrupted. To prevent this condition, author recommended the use of a relatively low volume of extern circulatory blood in beginning and the management this phenomenon in time by an antihistaminic medication.
Renal Dialysis ; Anaphylaxis ; Kidney Failure, Acute

Renal function in obstructive jaundice is one third of surgical cases of acute renal failure. Creatinin clearance in obstructive juandice deccrease> 50%. The nonoliguric acute renal failure may account for as much as 30 percent of all cases in obstructive jaudice without hypotension. After operation, patients with obstructive jaundice become nonoliguric acute renal failure accounted for 16 percent. Endotoxin is important pathogenic factor in reduction of renal function. Diagnosis of nononliguric renal failure when creatinin clearance reduces obviously. Pcr> 20mg/I or > 200 mol/I; RFI >3; FeNa>2.
Jaundice, Obstructive ; Bile Ducts ; Infection

The patients with hepatobiliary jaundice have an increased incidence of acute tubular necrosis. The hepatorenal syndrome represents a special category in the classification of the syndrome of acute liver and kidney failure. The treatment involved the use of prednisolone, exchange transfusion, hemodialysis, charcoal hemoperfusion, xenobiotic cross circulation and exvivo baboon liver perfusion
Liver Failure, Acute ; Kidney Failure ; Kidney Tubular Necrosis, Acute

Infertility is defined as the inability of a couple to conceive after having made attempts for 2 years. We conducted this study on 227 cases of male infertility. The results showed that 146 cases have oligospermia (the sperm count less than 20x106/mm3), 81 cases have asthenozoospermia. Our results in the treatment for asthenozoospermia with gonadotropine is very good, especially the therapy for Eumuch syndrome gets the best results
Infertility, Male ; Sperm Injections, Intracytoplasmic ; diagnosis ; therapeutics

On the occasion of the treatment for the patient without kidney after nephrectomy. The most important problems are water, body fluid and acid base balance. Maintainence of the electrolyte and nitrogen balance. This patient was treated by hemodialysis and ultrahemofiltration in the replacement of renal function
Nephrectomy ; Kidney ; therapy