论文部分内容阅读
甘露醇在脑水肿治疗中具有重要作用,但可导致急性肾功能衰竭,近年来已引起临床医生的高度重视。1998年3月～1999年1月,我们共应用甘露醇治疗各类脑水肿病人76例,现将其对肾功能的影响及预防急性肾功能衰竭的体会报告如下: 1 临床资料 76例脑水肿病人中,男49例,女27例,年龄16～77岁,平均年龄44岁,均经头颅CT扫描,脑出血44例,脑梗塞14例,脑挫伤18例。全组病人均无糖尿病、风湿、类风湿、红斑狼疮等慢性病史;无肝、肾、心脏病史;无休克及高血压危象。甘露醇用量为
Mannitol plays an important role in the treatment of cerebral edema, but it can cause acute renal failure, which has attracted great attention of clinicians in recent years. From March 1998 to January 1999, we used a total of 76 cases of mannitol treatment of various types of brain edema, and now its impact on renal function and prevention of acute renal failure are reported as follows: 1 Clinical data 76 cases of cerebral edema Among the patients, 49 were males and 27 were females, aged from 16 to 77 years old with a mean age of 44 years. All of them were examined by skull CT, 44 with cerebral hemorrhage, 14 with cerebral infarction and 18 with cerebral contusion. All patients without diabetes, rheumatism, rheumatoid, lupus and other chronic diseases; no liver, kidney, heart history; no shock and hypertension crisis. Mannitol dosage is