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有关急性肾衰的处理,本文择常遇到的几个问题加以讨论。 一、利尿剂应用问题 渗透性利尿剂如20％甘露醇,25％山梨醇125～250ml静脉快速滴注常应用于鉴别肾前性肾功能不全或肾小管急性坏死,二药除产生利尿外,并可增加循环容量、抑制肾素释放且增加肾血流量,在动物实验中预防性应用甘露醇可降低缺血性急性肾小管坏死的发生率,在急肾衰患者中有人也应用甘露醇,希望增加尿量,改善肾脏血液循环,然而除个别病例在肾衰时尚有血容不
The treatment of acute renal failure, this article often encountered several issues to be discussed. First, the diuretic application problems Permeability diuretics such as 20% mannitol, 25% sorbitol 125 ~ 250ml intravenous infusion often used to identify prerenal renal insufficiency or tubular necrosis, two drugs in addition to diuretic, And increase circulation capacity, inhibit renin release and increase renal blood flow in animal experiments, prophylactic use of mannitol can reduce the incidence of ischemic acute tubular necrosis, acute renal failure in some people also use mannitol, I hope to increase urine output, improve kidney blood circulation, however, except for individual cases of blood in the kidney failure is not