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目的探讨甘露醇治疗脑出血引起急性肾功衰竭的防治方案。方法对256例脑出血患者随机分为治疗组及对照组,治疗结果进行回顾性分析。结果经统计学处理肾功能衰竭的发生情况,治疗组与对照组相比差异有统计学意义(P<0.01);肾功能衰竭的转归情况,治疗组与对照组差异有统计学意义。结论甘露醇与甘油果糖联用;早期应用小剂量多巴胺、立其丁;小剂量应用甘露醇,滴速不能过快,疗程不能过长。以上方法能有效防治甘露醇治疗脑出血引起的急性肾功衰竭。
Objective To investigate the prevention and treatment of acute renal failure caused by mannitol in treating cerebral hemorrhage. Methods 256 cases of cerebral hemorrhage were randomly divided into treatment group and control group, the treatment results were retrospectively analyzed. Results The incidence of renal failure was statistically analyzed. The difference between the treatment group and the control group was statistically significant (P <0.01). The prognosis of the renal failure group was significantly different from that of the control group. Conclusions Mannitol combined with glycerol and fructose; early application of small doses of dopamine, Lidin small doses of mannitol, drip rate can not be too fast, the treatment can not be too long. The above method can effectively prevent and treat mannitol acute cerebral failure caused by cerebral hemorrhage.