摘要
目的:寻找脑出血、颅内高压合并肾功能不全患者控制颅内高压、避免肾功能恶化的理想方法。方法:84例脑出血合并肾功能不全患者分别进行常规治疗、连续性肾脏替代治疗(CRRT),治疗前后不同时间,计算内生肌酐清除率(CcR),行腰穿术测定脑脊液压力评估颅内压。结果:常规治疗患者5d后CcR进行性下降,肾功能恶化,颅内压高于CRRT治疗组;CRRT组除5例肾功能明显恶化外,其他病人肾功能稳定,颅内压高峰水平低于常规容量组。结论:CRRT治疗脑出血合并肾功能不全可有效避免肾功能恶化、控制颅内高压,是有效治疗手段。
Objective：Seeking for the ideal method to control or delay renal failure of patients with cerebral hemorrhage,intracranial hypertension and renal inadequacy.Method：Eighty-four patients with cerebral hemorrhage and renal inadequacy were divided into routine treatment group and routine volume therapy with continuous renal replacement therapy（CRRT）.To calculate endogenous creatinine clearance for evaluating renal function and to mensure cerebrospinal fluid pressure by lumbar puncture for evaluating intracranial pressure in different times of each group.Results： Endogenous creatinine clearance of routine treatment patients had been declined in five days and the level of renal failure and intracranial pressure had been above the CRRT group.In the therapy with CRRT group,all the patients＇ kidney function was basically stable and level of intracranial pressure was lower than the routine group,expect five ones＇ renal worsened deeply.Conclusions：The therapy with CRRT is a positive effective treatment on the patients of cerebral hemorrhage and renal inadequacy.It＇s beneficial to control intracranial hypertension and can avoid renal worsened effectively.
出处
《陕西医学杂志》
CAS
2011年第11期1483-1485,共3页
Shaanxi Medical Journal
关键词
脑出血/治疗
肾功能衰竭/治疗
肾替代疗法/方法
Cerebral hemorrhage/therapy Kidney failure/therapy Renal replacement therapy/methods
