علل نارسايي مزمن كليه در كودكان در بيمارستانهاي حضرت علي اصغر و لبافي نژاد

THE ETIOLOGIES OF CHRONIC RENAL FAILURE IN CHILDREN IN ALI-ASGHAR AND LABAFI-NEJAD HOSPITALS

According to the studies which have been performed in the following hospitals (Hazrat-e- Aliasghar and Labafi-Nejad) 245 children who were affected by end stage renal failure have been taken under studies in terms of etiology and clinical finding. The principal aim of this study was to find etiologies of CRF in these patients and teaching the families to prevent its complications. The methods which have been used, arc retrospective and in the from of the study of patients records. All patients had GFR less than 1 Oecimin l /73m`. The cause of Renal failure were studied in all patients and the epidemic etiology of CRF in different age range determined. On the basis of these studies, in the ages under 5 years, diseases were congenital and inherited, and in the ages over 5 years the cause of diseases were reflux nephropathy, then congential and inherited diseases were the most causes of renal failure. Regarding high rate reflux in our studies which have been performed in other countries, the conclusion is that: the absence of regular planning in diagnosis and treatment of children who were affected by UTI and reflux, made the above disease as the most cause of ESRD in age range of 5-9 years and 10-17 years. Also, the late diagnosis of the congential-inherited disease (specially congential obstrustive diseases) made them as the probable cause of ESRD in the patients over 5 years groups. The conclusion of this study was that the average age of final process of CRF in patients of this study was less than other studies in the same category. The lower level of health and awareness in families, and lack of early diagnosis and attention of physicians to the patients can be the reasons of this difference.