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目的探讨脑卒中并发急性肾功能衰竭 (ARF)的相关因素方法。方法多中心前瞻性研究 5 83例脑卒中患者 ,有关临床资料。结果 15 83例脑卒中患者并发 ARF 94例 (16 .12 % ) ,其中少尿型 ARF占 34例 ,非少尿型 ARF占 6 0例。 94例中死亡 41例 (43.6 2 % ) ,少尿型 16例 ,非少尿型 2 5例 ;2脑出血或脑梗死的程度 ;性别、年龄 ,合并昏迷、感染、消化道出血、心功能损害 ;甘露醇及肾毒性抗生素应用等与脑卒中患者发生 ARF密切相关。结论多因素参与脑卒中并发 ARF;脑卒中并发 ARF时病死率明显增加 ;注意对其中可变因素的干预 ,可有效防治 ARF
Objective To explore the related factors of stroke complicated with acute renal failure (ARF). Methods A multicenter prospective study of 5 83 stroke patients, the clinical data. Results A total of 15 83 stroke patients were complicated with ARF (n = 94) (16.12%), of which 34 were oliguric ARF and 60 were non-oliguric ARF. 41 cases (43.62%) died in 94 cases, 16 cases were oliguric type and 25 cases were non-oliguric type.2 The degree of cerebral hemorrhage or cerebral infarction2 The gender, age, coma, infection, gastrointestinal bleeding, cardiac function Damage; mannitol and nephrotoxic antibiotics and other stroke patients with ARF are closely related. Conclusions Multifactorial participation in stroke complicated by ARF; stroke mortality complicated by ARF increased significantly; pay attention to the variable factors which can effectively prevent and treat ARF