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目的 :探讨甘露醇在治疗脑出血病人过程中引起急性肾衰 (ARF)的原因及防治措施。方法 :5 6例均为脑出血病人 ,视病人情况入院后快速静滴 2 0 %甘露醇 ,每天用量 15 0～ 2 5 0g ,平均 2 0 0± 5 0g ,总用量 75 0～ 12 5 0g,观察其引起肾衰的情况。结果 :视病情轻重先后出现肾功能不全 ,少尿。结论 :治疗脑出血患者时应注意观察尿量、脱水、血压、肾功能情况 ,应提高对甘露醇应用指征、剂量、不良反应的认识。
Objective: To investigate the causes of mannitol in treating acute renal failure (ARF) in patients with intracerebral hemorrhage and its prevention and treatment. Methods: Fifty-six patients with intracerebral hemorrhage were treated with intravenous infusion of 20% mannitol rapidly after admission. The daily dosage was 150 to 250g with an average of 200 ± 5 0g and the total dosage was 75 0 to 125g , Observe the situation of causing renal failure. Results: Depending on the severity of renal failure, oliguria. Conclusion: When treating patients with intracerebral hemorrhage, we should pay attention to the observation of urine volume, dehydration, blood pressure and renal function. We should improve the understanding of mannitol indications, dosage and adverse reactions.