联用利尿剂治疗脑出血的临床体会

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目的:探讨脑出血急性期的脱水治疗效果 方法:将124例患者分为甘露醇和呋塞米利尿剂联用组(79例);甘露醇单用组(45例)作对照 结果:两组治疗有效率分别为73.14%、62.22% 利尿剂联用组并发急性心肾损害3例,甘露醇单用组发生心肾损害组7例。结论:小剂量甘露醇、呋塞米联用,可增强脱水、降颅压效果,并可减少甘露醇引起的心肾损害。 Objective: To investigate the effect of dehydration therapy in acute stage of cerebral hemorrhage.Methods: 124 patients were divided into mannitol and furosemide diuretic combined group (79 cases); mannitol alone group (45 cases) as control group: two groups of treatment The effective rates were 73.14%, 62.22%, diuretic combined with acute heart and kidney damage in 3 cases, mannitol alone group, heart and kidney damage in 7 cases. Conclusion: Small doses of mannitol and furosemide combined can enhance dehydration and reduce intracranial pressure, and can reduce the mannitol caused heart and kidney damage.
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