重型颅脑外伤并急性肾功能损伤的危险因素分析

High risk factors of acute kidney injury in the patients with sever craniocerebral trauma

目的分析重型颅脑外伤发生急性肾功能衰竭的危险因子，以指导临床更好地预防及治疗。方法回顾性分析本院2000年7月。2008年9月重型颅脑外伤患者的临床资料。结果在所有426例患者中，45例发生急性肾损伤。年龄〉50岁组、入院时格拉斯哥昏迷评分低于5分、存在呼吸衰竭、消化道出血、肝功能损害等各种并发症组急性肾损伤的发生率高于对照组。结论重型颅脑外伤发生急性肾功能损伤的高危因素包括年龄〉50岁、入院时格拉斯哥昏迷评分、出现呼吸衰竭、消化道出血、肝功能损害等各种并发症。

Aim To analyze high risk factors of acute kidney injury in the patient s with sever craniocerebral trauma. Methods A retro- spective analysis was made on the clinical materials of the patients with severe craniocerebral trauma from July 2000 to September 2008 in our hospital. Results A total of 426 patient s with severe craniocerebral trauma,45 cases had acute kidney injury. Conclusion Patients who are at high risk of acute kidney injury in the patients with severe craniocerebral trauma that： age greater than 50 years ; compli-cation as respiratory failure, liver function damaged, upper gastrointestinal hemorrhage;glasgow coma score on admission.