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重型颅脑损伤并发急性肾功能衰竭的危险因素和病因分析
引用本文:文新忠,石斌,李玉民,郭鸿,张斌,刘丽平,侯启亮,尹超,曹永强. 重型颅脑损伤并发急性肾功能衰竭的危险因素和病因分析[J]. 国际外科学杂志, 2007, 34(8): 524-527
作者姓名:文新忠  石斌  李玉民  郭鸿  张斌  刘丽平  侯启亮  尹超  曹永强
作者单位:730000,甘肃,兰州大学第一附属医院外科ICU;730000,甘肃,兰州大学第一附属医院外科ICU;730000,甘肃,兰州大学第一附属医院外科ICU;730000,甘肃,兰州大学第一附属医院外科ICU;730000,甘肃,兰州大学第一附属医院外科ICU;730000,甘肃,兰州大学第一附属医院外科ICU;730000,甘肃,兰州大学第一附属医院外科ICU;730000,甘肃,兰州大学第一附属医院外科ICU;730000,甘肃,兰州大学第一附属医院外科ICU
摘    要:
目的探讨重型颅脑损伤合并急性肾功能衰竭(ARF)的危险因素。方法回顾性分析了27例重型颅脑损伤合并ARF患者的临床资料,对其危险因素及发病原因进行探讨。结果GCS评分低、脑挫裂伤程度重、甘露醇治疗、氨基糖甙类药物治疗、年龄大以及开颅手术后与ARF显著相关,属于风险因素。结论重型颅脑损伤合并ARF为多种因素的共同作用。

关 键 词:颅脑损伤  ARF  风险因素
修稿时间:2007-02-21

Study on the risk factors and pathogenisis of acute renal failure after severe craniocerebral trauma
WEN Xin-Zhong,SHI Bin,LI Yu-Min,GUO Hong,ZHANG Bin,LIU Li-Ping,HOU Qi-Liang,YIN Chao,CAO Yong-Qiang. Study on the risk factors and pathogenisis of acute renal failure after severe craniocerebral trauma[J]. International Journal of Surgery, 2007, 34(8): 524-527
Authors:WEN Xin-Zhong  SHI Bin  LI Yu-Min  GUO Hong  ZHANG Bin  LIU Li-Ping  HOU Qi-Liang  YIN Chao  CAO Yong-Qiang
Affiliation:Intensive Care Unit, The First Hospital of Lanzhou University, GanSu Lanzhou 730000, China
Abstract:
Objective To explore the risk factors and pathogenisis of acute renal failure(ARF) after in the patients with severe craniocerebral trauma.Methods The data of 27 patients with severe craniocerebral trauma,who suffered from ARF were analyzed respectively and the risk factors,pathogenisis of ARF were discussed.Results Lower GCS score,severe head jury,using mannitol,using aminoglycoside drug,old people,brain operation are the risk factors of ARF.Conclusions ARF after the severe craniocerebral trauma is relatively high.Careful risk factor and individuation treatment of ARDS is the key to the successful treatment.
Keywords:Severe craniocerebral trauma   ARF   Risk factor
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