目的分析急性脑血管病患者的肾脏损害及临床相关因素。方法对 82例急性脑血管病死亡患者于 2 4小时内进行肾脏解剖 ,作大体及显微镜下观察 ,并将其改变与临床相关因素对比分析。结果 72 .0 % (59/ 82 )的急性脑血管病病死者存在肾脏肿大 ;53 .7%(44/ 82 )有肾动脉硬化改变 ;42 .7% (35/ 82 )有肾间质炎性损害 ;6 .1 % (5/ 82 )发生肾梗死。结论高血压、老年、心脏病不仅是脑卒中的危险因素 ,也易使肾脏成为其损害的靶器官。 Objective To analyze the renal damage and clinical related factors in patients with acute cerebrovascular disease. Methods Twenty-two patients with acute cerebrovascular disease were subjected to renal anatomy within 24 hours. The renal anatomy was observed under microscope and under microscope, and the changes were compared with those of clinically relevant factors. Results 72.O% (59/82) of patients with acute cerebrovascular disease had renal enlargement; 53.7% (44/82) had renal arteriosclerosis; 42.7% (35/82) had renal interstitium Inflammatory lesions; 6 .1% (5/82) renal infarction occurred. Conclusion Hypertension, elderly and heart disease are not only the risk factors of stroke, but also easy to make the kidney become the target organ of its damage.