[摘要] 目的 探讨内镜逆行胰胆管造影(ERCP)术后急性肾衰的可能原因及其对策。方法 回顾性分析3家医院1994年以来ERCP术后发生急性肾衰的临床资料。结果 3家医院1994年以来12460例ERCP术后发生急性肾衰9例，均为恶性胆管梗阻，术前查BUN或Cr有一项轻度升高，死亡7例。结论 ERCP术后发生急性肾衰虽然少见，但对恶性胆管梗阻患者仍是值得警惕的并发症。

    [关键词] 急性肾功能衰竭；内镜逆行胰胆管造影;分析

    Acute renal failure after ERCP：an analysis of 9 cases

    WENG Jian-jun,WANG Ruo-yan,HU Bing.Shanghai Punan Hospital,Shanghai 200125,China

    [Abstract] Objective To analyse the cause and precaution of acute renal failure after endoscopic retrograde cholangiopancreatography (ERCP).Methods We study retrospectively the clinical data of 9 cases of acute renal failure after ERCP in 3 hospitals from 1994 to may 2006.Results The overall incidence of acute renal failure after ERCP was 9/12460.All 9 patients had malignant obstructive jaundice,displaying higher BUN or Cr before ERCP.7 patients died after ERCP.Conclusion It’s still worthwhile for us to pay attention to the complications of patients with malignant obstructive jaundice undergoing ERCP,although the probability of acute renal failure after ERCP is low. ......