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我院近5年来收治脑出血84例,除72小时内死于脑疝或自动出院22例外,存活72小时以上的62例中发生急性肾功能衰竭(下称肾衰)者10例,认为系甘露醇所致。为引起临床注意,报道如下。1 临床资料1.1 诊断标准.脑出血诊断依据及病情分级参照王氏标准。脑出血病人伴肾衰诊断依据为既往无明确肾脏病史。脑出血治疗过程中迅速出现无尿,或氮质血症进行性加剧者。1.2 一般资料.62例中男43例,女19例。年龄45～81岁,平均60.8岁。病情分级多为重型和中型,少数为轻型,无危重型。全部病例未用损肾药物。治疗主要控制血压,防治感染.用甘露醇减轻脑水肿及
84 cases of intracerebral hemorrhage were admitted to our hospital in the past 5 years. Except for 22 cases of herniation or spontaneous discharge in 72 hours, 62 cases of acute renal failure (hereinafter referred to as renal failure) survived for more than 72 hours were considered as 10 cases, Mannitol caused. To attract clinical attention, reported as follows. 1 clinical data 1.1 diagnostic criteria. The diagnosis of cerebral hemorrhage based on grade and disease grade refer to Wang standard. Diagnosis of cerebral hemorrhage patients with renal failure based on past history of a clear kidney disease. Intracerebral hemorrhage in the process of rapid emergence of anuria, azotemia or exacerbations. 1.2 General information .62 cases of male 43 cases, 19 females. Age 45 ~ 81 years old, average 60.8 years old. Most of the grading for the heavy and medium-sized, a small number of light, no critical type. No case of kidney damage drugs. The main treatment of blood pressure control, prevention and treatment with mannitol to reduce cerebral edema and