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我院自1986年以来收治脑出血84例,经保守治疗存活72小时以上的62例中发生急性肾功能衰竭(简称肾衰)10例,都与大剂量使用渗透性脱水剂甘露醇直接有关,报告如下。临床资料一、诊断依据及标准:脑出血诊断依据及病情分级标准参照王耀山标准;肾衰诊断依据为既往无明显肾脏病史,脑出血治疗过程中迅速出现无尿或氮质血症并进行性加剧。二、一般资料;62例中男43例,女19例;轻型12例,中型31例,重型19例。主要治疗为
84 cases of cerebral hemorrhage were admitted to our hospital since 1986, and 62 cases of conservative treatment of more than 72 hours of acute renal failure (referred to as renal failure) in 10 cases, are associated with high-dose use of osmotic dehydration mannitol directly related, The report is as follows. Clinical data First, the diagnostic criteria and criteria: The diagnosis of cerebral hemorrhage based on the criteria and grading criteria refer to Wangyao Shan standard; diagnosis of renal failure based on past history of no significant renal disease, cerebral hemorrhage in the rapid process of auria or azotemia and progressive increase . Second, the general information; 62 cases of 43 males and 19 females; 12 cases of light, 31 cases of medium, 19 cases of heavy. The main treatment is