摘要
本文报告急性脑血管疾病(ACVD)合并急性肾功能衰竭(ARF)16例,其发生机理分为外源性和内源性二大类,前者大多为医源性(甘露醇肾6例,高渗性高血糖性非酮症昏迷2例),后者发生于ACVD合并多系统功能衰竭。重点讨论急性出血性卒中合并ARF的原因和甘露醇肾的发生机理。医源性是可以预防的,一旦发生预后不良。
Sixteen patients with acute renal failure occurred in acute cerebral vascular diseases were reported in this paper. The pathogenetic factors included in trasinic andextrasinic,the majority of the intrasinic factors were ia-trogenesis such as mannitol - induced renal failure (6cases ) and hyperromalar hyperglucemic nonketolic syndrome (2cases ).but the extrosinic were multiple system organs failure, we discussed the relationship be-tween acute renal failure relationship between acute renal failure and hemorrhagic stroke,iatrogenisis such as mannitol - induced renal failure in particular. The iatro-genesis can be likely prevented. Once it occur, Itsprognosis is not well.
