脑出血患者肾功能损害相关因素分析

ANALYSIS OF FACTORS RELATIVE TO RENAL DAMAGE IN PATIENTS WITH CEREBRAL HAEMORRHAGE

目的 :探讨脑出血患者肾功能损害的相关因素。方法 :对 1 999— 2 0 0 0年收治的 87例脑出血患者进行回顾性研究。结果 :1丘脑出血、脑桥出血、脑室出血及壳核出血有中线移位患者肾功能损害发生率较高 ,分别为 75 %、6 6 .7%、5 5 .6 %、6 6 .1 % ,与脑叶出血 ( 1 6 .7% )、壳核出血无中线移位 ( 2 2 .7% )患者相比 ,有极显著性差异 ( P<0 .0 1 ) ;前者肾功能损害程度也较后者重 ,二者相比 ,有统计学意义 ( P<0 .0 5 )。 2高血压及伴发合并症患者肾功能损害发生率也较高 ,分别为 71 .4 %和 5 9.4 %。结论 :脑出血患者肾功能损害与出血部位、出血量大小密切相关 。

Objective:To study the factors relative to renal damage in patients with cerebral haemorrhage.Methods:Eighty seven patients with cerebral haemorrhage treated from 1999 to 2000 were analyzed retrospectively.Results:①There were significant differences in the rates of renal damage among patients with pons haemorrhage,thalamus haemorrhage,ventricular haemorrhage,and putamen haemorrhage with central translocation and patients with cerebral lobe haemorrhage and putamen haemorrhage without central translocation with the former 75%,66 7%,55 6% and 61 1% respectively and the latter 16 7% and 22 7%respectively.The degree of renal damage in the former was more serious than that in the latter( P<0 05 ).②The renal damage rates in patients with hypertension and complications were 71 1% and 59 4% respectively.Conclusion:The severity of renal damage in patients with cerebral haemorrhage was closely related to the bleeding part and amount,and also related to the existing hypertension and complications.