论文部分内容阅读
急性肾功能衰竭(ARF)为 ICU 常见脏器功能衰竭之一,历来处理比较棘手,死亡率较高。为探讨治疗和逆转 ARF 的有效疗法,我们采用速尿微泵连续输注方法,取得较为满意治疗效果。1 资料与方法1.1 标准 (1)发生少尿或无尿,平均尿量<0.5ml/(kg·h),24 h 尿量<400 ml;(2)发病前肾功能正常而发病后血肌酐浓度>150μmol/L;(3)每日血肌酐升,>80μmol/L;(4)经大剂量速尿(>720mg/d)治疗或大剂量速尿微泵连续输注治疗。除外低血压休克尚未纠正者。
Acute renal failure (ARF) is one of the most common organ failure in the ICU. It has always been more difficult to handle and the mortality rate is higher. In order to explore effective therapies for the treatment and reversal of ARF, we used the continuous infusion method of furosemide micropump to obtain more satisfactory therapeutic effect. 1 Materials and Methods 1.1 Standard (1) oliguria or anuria, the average urine output <0.5ml / (kg · h), 24 h urine output <400 ml; (2) before onset of renal function was normal and the incidence of serum creatinine Concentration> 150μmol / L; (3) daily serum creatinine rise,> 80μmol / L; (4) by high-dose furosemide (> 720mg / d) treatment or high-dose furosemide micropump continuous infusion therapy. Except for hypotensive shock have not been corrected.