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通过小儿急性肾衰28例临床分析,可看出其发病原因归结为两类,即“缺血”与“中毒”。小儿急性肾炎并发急性肾衰居多,其次为氨基甙类抗生素所致的肾毒性肾衰。由于病因和轻重不一而影响其预后。在治疗过程中,准确计算出量、严格控制入量、保证静脉内的基础热卡、控制水电解质及酸碱平衡、早期应用扩血管药及活血化瘀的中药,积极帮助患儿渡过少尿期,乃是治疗之关键。
Through the clinical analysis of 28 cases of acute renal failure in children, it can be seen that its causes fall into two categories, namely “ischemia” and “poisoning.” Acute renal nephritis in children with acute renal failure mostly, followed by aminoglycoside antibiotics caused by renal toxicity of renal failure. Due to different etiology and severity affect their prognosis. In the course of treatment, accurate calculation of the amount of strict control of the amount of input to ensure the basic heat card intravenous control of water and electrolyte and acid-base balance, the early application of vasodilators and traditional Chinese medicine to promote blood circulation, and actively help children spend less Urinary period, but the key to treatment.