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目的 探讨液体摄入量在急性脑血管病患者应用甘露醇致急性肾功能衰竭 (ARF)中的作用。方法 12例甘露醇致ARF患者为患病组。根据患病组中各患者在发病前一周内使用甘露醇的日平均量 (不足一周者按肾衰前几日的日平均量计算 )配对选取病例作为对照组 ,比较液体摄入量、尿比重和血钠浓度。结果 患病组液体摄入量低于 2 0 0 0ml,尿比重和血钠浓度明显高于对照组。结论 合理使用甘露醇剂量、补充水分 ,保持一定尿量和水电解质平衡 ,对防止ARF的发生有重要意义。
Objective To investigate the effect of fluid intake on acute renal failure (ARF) induced by mannitol in patients with acute cerebrovascular disease. Methods Twelve mannitol-induced ARF patients were affected. According to the prevalence of each patient within the week before the onset of the use of mannitol daily average (less than one week according to the average number of days before renal failure days) paired selected cases as a control group, comparing fluid intake, urine specific gravity And serum sodium concentration. Results The patient’s fluid intake was less than 200 ml, and the urine specific gravity and serum sodium concentration were significantly higher than those of the control group. Conclusion The rational use of mannitol dose, add water, maintain a certain amount of urine output and electrolyte balance, to prevent the occurrence of ARF is of great significance.