摘要
目的探讨脑卒中并发急性肾功能衰竭 (ARF)的相关因素方法。方法多中心前瞻性研究 5 83例脑卒中患者 ,有关临床资料。结果 15 83例脑卒中患者并发 ARF 94例 (16 .12 % ) ,其中少尿型 ARF占 34例 ,非少尿型 ARF占 6 0例。 94例中死亡 41例 (43.6 2 % ) ,少尿型 16例 ,非少尿型 2 5例 ;2脑出血或脑梗死的程度 ;性别、年龄 ,合并昏迷、感染、消化道出血、心功能损害 ;甘露醇及肾毒性抗生素应用等与脑卒中患者发生 ARF密切相关。结论多因素参与脑卒中并发 ARF;脑卒中并发 ARF时病死率明显增加 ;注意对其中可变因素的干预 ,可有效防治
Objective To investigate the associated factors of acute renal failure(ARF)in cerebral stroke.Methods 583 stroke cases were prospectively studied and clinical data were analyzed statistically.Result The incidence of ARF in cerebral stroke was closely correlated to the severity of cerebral hemorrhage,infarction,sex,age,use of mannitol and nephrotoxic antibiotic.Conclusion Multiple factors play a role in the pathogenesis of ARF in stroke.The mortality rate is obviously increasing in stroke complicated by ARF.
出处
《中国综合临床》
北大核心
2001年第5期362-363,共2页
Clinical Medicine of China