Chronic renal failure presents multiple difficult problems in the absence of adequate medical treatment despite all efforts to date.

所有努力成果迄今，在缺乏医学治疗的情况下，慢性肾衰竭会引起多样困难的问题产生。

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He told the coroner's court that there had been catalogue of errors in Mr Ridd's treatment, a gross failure to provide adequate medical care and a clear connection in the way he was treated and the cause of his death.

BBC: Paul Ridd inquest: NHS neglect 'contributed to death'