中文摘要：

目的：对慢性肾功能衰竭患者死亡原因和影响因素进行分析，为改善患者预后提供参考依据。方法：回顾性分析本院2009年8月～2012年8月收治的87例慢性肾功能衰竭的临床资料，对患者的死亡原因及影响因素进行分析。结果：死亡19例患者，占21．84％；死亡原因前三位是严重感染、心律失常、心肌梗塞，分别占36．84％（7／19）、21．06％（7／19）、15．79％（3／19）；通过单因素结果分析，年龄、高血压、控制饮食、严重感染、性生活、心律失常、心肌梗塞、营养不良是慢性肾功能衰竭患者死亡的危险因素（P〈0．05）。结论：对高危因素患者进行干预治疗及健康指导，有助于改善患者预后。

英文摘要：

Objectives： To investigate the cause of death and the influencing factors of patients with chronic renal failure in order to improve the prognosis of patients. Methods： We reviewed the information of 87 chronic renal failure clinical cases in the hospital from August of 2009 - August of 2012 to analyze causes of death and the influencing factors. Results： Among 78 pa- tients, 19 of them died, accounting for 21.84% ; the top three causes of death were serious infection, arrhythmia and myocardial infarction, accounting for 36. 84%, 21.06%, 15.79% respectively; the single - factor analysis showed high risk factors, inclu- ding age, hypertension, diet, serious infection, sexual life, arrhythmia, myocardial infarction and malnutrition （ P 〈 0. 05 ）. Conclusions： Therapeutic intervention and health guidance are helpful in improving the prognosis of the patients.