论文部分内容阅读
急性肾功能衰竭(ARF)是急性脑血管病(AVCD)的严重并发症之一,我院1987～1997年收治老年急性脑血管病286例中有ARF 36例中发生率11.2％,18例治愈,18例死亡,病死率50％。现将发病诱因及其特殊性加以分析,对ARF早期发现,早期防治,提高生存率有一定重要意义。 1 临床资料 1.1 一般资料 36例,男20例,女16例;年龄60～88岁,平均74岁。按单项计数,高血压史22例,糖尿病史14例,高血脂16例,冠心病10例,慢支肺心病8例,合并两种以上者18例,发病后入院2～14天。 1.2 临床表现 偏瘫36例,意识障碍25例,高血压20例,恶心、呕吐16例,头痛、头晕15例,抽搐8例。入院时少尿、无尿20例。入院后治疗过程中少尿、无尿16例。
Acute renal failure (ARF) is one of the serious complications of acute cerebrovascular disease (AVCD). The incidence of ARF was 11.2% in 286 cases of acute cerebrovascular disease in our hospital from 1987 to 1997, and 18 cases were cured , 18 died, the fatality rate was 50%. The onset of incentives and its specificity to be analyzed, early detection of ARF, early prevention and treatment, improve survival rate of some significance. 1 Clinical data 1.1 General Information 36 cases, 20 males and 16 females; aged 60 to 88 years, mean 74 years. According to the individual counts, there were 22 cases of history of hypertension, 14 cases of history of diabetes mellitus, 16 cases of hyperlipidemia, 10 cases of coronary heart disease and 8 cases of chronic bronchogenic heart disease. 18 cases were combined with 2 or more cases and were admitted for 2 to 14 days after onset. 1.2 Clinical manifestations 36 cases of hemiplegia, disturbance of consciousness in 25 cases, 20 cases of hypertension, nausea and vomiting in 16 cases, headache, dizziness in 15 cases, convulsions in 8 cases. Admission oliguria, anuria in 20 cases. After admission, oliguria, anuria in 16 cases.