| 重型颅脑损伤中急性肾衰竭的预防措施 |
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| 引用本文： | 冯国余,顾洪库,焦庆贵.重型颅脑损伤中急性肾衰竭的预防措施[J].中国急救医学,2007,27(2):130-132. |
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| 作者姓名： | 冯国余 顾洪库 焦庆贵 |
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| 作者单位： | 100016,北京,清华大学第一附属医院神经外科 |
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| 摘 要： | 目的寻找降低重型颅脑损伤中急性肾衰竭发生的有效方法。方法对356例重型颅脑损伤患者(GCS3~8分)采用监测血钠、血钾、血糖、尿素和血肌酐的变化,控制血浆渗透压,合理使用脱水药和抗生素等方法。结果356例重型颅脑损伤患者中,发生肾衰竭仅6例(发生率1.68%)。结论严密观察电解质的变化,合理调整和治疗就可以有效地预防重型颅脑损伤中肾衰竭的发生。
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| 关 键 词： | 重型颅脑损伤 急性肾衰竭 血浆渗透压 血钠 血糖 甘露醇 |
| 文章编号： | 1002-1949(2007)02-0130-03 |
| 修稿时间： | 2006-11-21 |
Discussion on the method to lower the incidence of acute renal failure in severe craniocerebral injury patients |
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| FENG Guo-yu,GU Hong-ku,JIAO Qing-gui.Discussion on the method to lower the incidence of acute renal failure in severe craniocerebral injury patients[J].Chinese Journal of Critical Care Medicine,2007,27(2):130-132. |
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| Authors: | FENG Guo-yu GU Hong-ku JIAO Qing-gui |
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| Institution: | Department of Neurosurgery, the First Affiliated Hospital of Qinghua University, Belting 100016, China |
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| Abstract: | Objective To seek the method to lower the incidence of acute renal failure in severe craniocerebral injury patients. Method To monitor blood Na , blood glucose, blood K and blood urea nitrogen of 356 patients with severe craniocerebral injury, to control the plasma osmolality, and to use reasonably dehydration drug and antibiotic drug. Result Only 6 patients out of 356 patients with severe craniocerebral injury had acute renal failure,the incidence was 1.68%. Conclusion The monitoring of electrolyte and the reasonable clinical therapy can lower the incidence of acute renal failure in severe craniocerebral injury patients. |
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| Keywords: | Severe craniocerebral injury Acute renal failure Plasma osmolality Bloodnatrium Blood glucose Mannitol |
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