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及时补足液体，必要时进行鼻饲，以预防纠正入量不足。老年人免疫功能逐渐减退，易受感染，感染易发热、食欲不振、退热大汗等，很易促使ＡＲＦ形成。因而，老年人应积极预防感染，合理地使用抗菌药和退热等治疗。本组庆大霉素引起死亡２例，甘露醇和磺胺引起者无１例死亡。分析庆大霉素除对肾脏的直接毒性外，机体对该药过敏是其主要因素，而甘露醇和磺胺除可能在肾小管内形成结晶外，其肾毒性和机体过敏因素作用相对较轻，较庆大霉素引起者容易恢复。所以，老年人在必须使用对肾脏有损害的药物时应谨慎为宜。参考文献１钱桐荪．老年肾和老年肾脏病问题．中华肾脏病杂志，１９８６；２（１）：３９
Timely make up the liquid, if necessary, nasal feeding, to prevent the amount of correction deficiencies. Immune function of the elderly gradually diminished, susceptible to infection, fever, loss of appetite, fever, sweating, etc., is very easy to promote the formation of ARF. Therefore, the elderly should actively prevent infection, rational use of anti-bacterial drugs and antipyretics and other treatment. Gentamicin in this group caused 2 deaths, mannitol and sulfa caused no one death. Analysis of gentamicin in addition to the direct toxicity of the kidney, the body allergy to the drug is the main factor, while mannitol and sulfa addition to the formation of crystals in the renal tubules, the nephrotoxicity and body allergic factors relatively light, compared with Gentamicin caused by easy recovery. Therefore, the elderly should be careful when the use of drugs that damage the kidneys should be appropriate. References 1 money Tong Sun. Elderly kidney and elderly kidney problems. Chinese Journal of Nephrology, 1986; 2 (1): 39