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1 临床资料 1.1 一般资料:本组196例患者为住院病人,经头颅CT确诊,均静脉滴注20％甘露醇。其中脑梗塞、脑栓塞57例,出现急性肾功能衰竭(ARF)的有4例;脑出血、蛛网膜下腔出血95例,出现ARF11例;混合性脑血管病32例,出现ARF5例;脑肿瘤11例,ARF1例。21例中男性14例,女性7例,年龄47～89岁,平均73岁。21例中,有高血压病史16例,糖尿病史9例,所有病例治疗前已排除肾脏病史:如急慢性肾炎、肾结石、多囊肾,肾积液等,肾功能BUN<7.2mmol/1,Cr<176μmol/1,尿常规正常。
1 Clinical data 1.1 General information: 196 patients in this group of patients as inpatients, confirmed by skull CT, are intravenous infusion of 20% mannitol. Cerebral infarction and cerebral embolism in 57 cases, acute renal failure (ARF) in 4 cases; cerebral hemorrhage, subarachnoid hemorrhage in 95 cases, ARF occurred in 11 cases; 32 cases of mixed cerebrovascular disease, ARF 5 cases; brain Tumor in 11 cases, ARF1 cases. Among the 21 cases, 14 were males and 7 were females, aged from 47 to 89 years with an average of 73 years. In 21 cases, there were 16 cases with history of hypertension and 9 cases with history of diabetes mellitus. All patients had a history of renal disease before treatment such as acute and chronic nephritis, kidney stones, polycystic kidney disease and renal effusion. The renal function BUN <7.2mmol / 1 , Cr <176μmol / 1, normal urine.