[The functional state of the kidneys in severe cranio-cerebral injury]

The functional state of the kidneys in dynamics was investigated in 147 patients with severe cerebro-cranial injuries. Dynamic changes of the blood protein metabolites in patients with normal glomerular filtration and depressed one were contrasted. The declined glomerular filtration was found to be of a passing nature, being accompanied by an increased content of nitrous products in the blood. The relation of azotemia with both renal and extrarenal factors is stressed. A relationship between the glomerular filtration and an upset hemodynamics and dehydration, as well as the absence of its dependance on isolated respiratory distressed, changes in the level of plasmatic electrolytes and also on the nature of the brain lesion and the age of patients were established.