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13例急性胃肠炎用庆大霉素治疗后致急性肾功能衰竭(ARF),少尿期平均9.5天,多尿期平均尿量2450±11ml,全部低钾、低钠和低氯;出血热致肾功能衰竭68例中,仅12例(17.65%)表现低钾、低钠和低氯,少尿期平均4.5天,多尿期平均尿量4630±55ml。分析认为,对急性胃肠炎者如需用庆大霉素治疗,必需补足血容量,维持水电解质、酸碱平衡,以防ARF的发生。
Thirteen cases of acute gastroenteritis treated with gentamicin caused acute renal failure (ARF), with an average of 9.5 days in oliguria and 2450 ± 11 ml in polyuria, with all hypokalemia, hyponatremia and low chlorine ; Among the 68 cases of hemorrhagic renal failure caused by hemorrhagic fever, only 12 cases (17.65%) showed hypokalemia, hyponatremia and hypochlorosis, 4.5 days in oliguria and 4630 ± 55ml in polyuria. Analysis, for acute gastroenteritis such as the need for gentamicin treatment, blood volume must be made to maintain water and electrolyte, acid-base balance, to prevent the occurrence of ARF.