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总结分析我院2005年1月至2010年12月收治的脑卒中且伴有脑水肿的1512例患者情况。静滴甘露醇致肾损伤的共11例,这种情况已引起我院临床医生的重视。使用甘露醇必须掌握好用药时间、剂量和速度,注意个体化治疗,在用药前和用药过程中每2～3天测血肌酐、尿素氮、尿常规、电解质,准确记录患者的摄入量和尿量,维持血容量。特别是年老体弱和合并症多的患者更应多加注意。
To summarize and analyze the 1512 cases of stroke and brain edema admitted to our hospital from January 2005 to December 2010. Mannitol intravenous infusion of renal injury caused by a total of 11 cases, this situation has attracted the attention of our hospital clinicians. The use of mannitol must master medication time, dosage and speed, pay attention to individual treatment, before treatment and medication every 2 to 3 days measured serum creatinine, urea nitrogen, urine, electrolytes, accurately record the patient’s intake and Urine volume, maintain blood volume. In particular, the elderly and frail patients with more complications should pay more attention.