我科1995年1月～1998年12月收治急性肾小球肾炎82例,其中24例合并高血压脑病(29.2％)。本组男12例,女12例,年龄7岁～14岁;症状:抽搐24例,头痛22例,呕吐20例,浮肿22例,头晕8例,意识障碍6例。血压在(142～180)mmHg/(90～128)mmHg。所有病例均予利尿、降压、止痉、吸氧、抗感染等处理,反复惊厥应用小剂量甘露醇脱水。结果24例均在24小时内惊厥控制,意识恢复,头痛减轻,出 Our department from January 1995 to December 1998 admitted to 82 cases of acute glomerulonephritis, of which 24 cases of hypertensive encephalopathy (29.2%). The group of 12 males and 12 females, aged 7 to 14 years old; symptoms: convulsions in 24 cases, headache in 22 cases, vomiting in 20 cases, edema in 22 cases, dizziness in 8 cases, 6 cases of disturbance of consciousness. Blood pressure at (142 ~ 180) mmHg / (90 ~ 128) mmHg. All cases were diuretic, antihypertensive, antispasmodic, oxygen, anti-infective treatment, recurrent convulsions with a small dose of mannitol dehydration. Results 24 cases were convulsions within 24 hours of control, consciousness recovery, headache relief, out