摘要
目的 探讨脑出血并发急性肾功能衰竭的机理及相关因素。降低脑出血时急性肾功能衰竭的发生率。方法 结合相关文献对20例合并急性肾功能衰竭的脑出血患者进行分析,总结脑出血引发急性肾功能衰竭的因素。结果 急性脑出血并发急性肾功能衰竭与脑部病变严重导致下丘脑-垂体功能失调、老年人多器官功能减退、长时间使用大剂量脱水剂及肾毒性药物明显相关。结论 合理应用脱水剂,避免使用肾毒性药物、重视肾功能监测并早期进行多系统兼顾治疗,是减少病死率的重要措施。
Objective To discuss the mechanics and relative factor of cerebral hemorrhage complicated by renal failure. Methods 20 cases of cerebral hemorrhage complicated by acute renal failure were analyzed with a study of correlative literature and the factors causing cerebral hemorrhage complicatedby acute renal failure were summarized. Results Acute cerebral hemorrhage complicated by acute renal failure was clearly related to the severe cerebral pathologic changes which caused the imbalance of hypothalamo-hypophyseal functions,the decrease of multi-organ functions in the aged people,long time application of high dose of dehydrant and nephrotoxic drugs. Conclusion Proper application of hydrant, avoiding giving nephrotoxic drugs, more attention to renal function monitoring and relevant treatment to other organs would be the important measure to decrease the fatality rate.
