手术后肾功能不全的早期发现和处理是减低创伤后发病率或死亡率的一个重要课题。作者进行前瞻性研究,发现发生肾功能不全的24小时内,肌酐廓清率(Ccr)即可提示诊断. 方法作者观察了40例多处创伤的病人,平均年龄32岁(14～65岁),男29例,女11例。36例为交通事故伤,4例为枪伤,平均损伤2.7处。复苏和手术时收缩血压均低于80mmHg,输血均达11单位以上。复 Postoperative early detection and treatment of renal insufficiency is an important issue to reduce post-traumatic morbidity or mortality. The prospective study found that within 24 hours of renal insufficiency, creatinine clearance rate (Ccr) can prompt diagnosis.Methods The authors observed 40 cases of multiple trauma patients, mean age 32 years (14 to 65 years) 29 males and 11 females. 36 cases of traffic accidents, 4 cases of gunshot wounds, an average of 2.7 injuries. Systolic blood pressure during resuscitation and surgery were lower than 80mmHg, blood transfusion reached 11 units or more. complex