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伽玛刀治疗肿瘤引起急性肾损害的防治
引用本文:倪志明 杨黄 陆春来. 伽玛刀治疗肿瘤引起急性肾损害的防治[J]. 中国癌症杂志, 2005, 15(5): 483-485
作者姓名:倪志明 杨黄 陆春来
作者单位:解放军八五医院肾内科 上海200052(倪志明,杨黄),解放军八五医院肾内科 上海200052(陆春来)
摘    要:目的:观察伽玛刀治疗肿瘤后肾功能损害状况,研究其易感性、发病机制及防治。方法:7例肿瘤患者伽玛刀治疗后出现肾功能损害,水化补液;扩血管、利尿、碱化尿液;抗凝、防血小板聚集;通便排毒;重症给予血液透析治疗。结果:7例患者肾功能均逐渐恢复。结论:伽玛刀治疗肿瘤可引起的急性肾功能损害,高龄及有基础肾功能不全者更易发生,重视预防,早期诊断,积极治疗,可减轻损害,促进肾功能恢复,预后较好。

关 键 词:急性肾衰  肿瘤  伽玛刀  防治
文章编号:1007-3639(2005)05-0483-03
收稿时间:2005-02-03
修稿时间:2005-05-22

Prevention and treatment of acute renal injury in tumor patients treated with body gama kinfe
NI Zhi-ming,YANG Huang,LU Chun-lai. Prevention and treatment of acute renal injury in tumor patients treated with body gama kinfe[J]. China Oncology, 2005, 15(5): 483-485
Authors:NI Zhi-ming  YANG Huang  LU Chun-lai
Affiliation:Department of Kidney,PLA No.85 Hospital,Shanghai,200052,China
Abstract:Purpose:To investigate the mechanisms,susceptibility,prevention and treatment of the tumor patients'renal function,which was injured by the Body Gama Kinfe treatment.Methods:There were 7 patients,who had been observed for the effect of hydration,vaso-dilation,diuresis,basifying urine,anti-coagulation,detocifiation,even hemodialysis.Results:All patients' renal function gradually recovered.Conclusions:The tumour patients' renal function can be acutely injured by Body Gama Kinfe treatment.The patients who were elderly or inherent in renal failure would be prone to injary.In general we could improve the situation by better prevention,early-diagnosis,efficient treatment,so that we can not only alleviate the injuries,but also speed recovery,thus achieving better prognosis.
Keywords:acute renal failure  neoplasms  body gama knife  prevention and treatment
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