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甘露醇为多醇糖,分子量182.17,其5.07％水溶液与血清成等渗。临床常用20％水溶液为脱水剂。其副作用可出现高血钠、高渗性昏迷;注射过快可出现头痛、视力模糊、眩晕、心悸,个别病人可出现过敏反应;于注射后3～6分钟出现喷嚏、鼻流液、舌肿、呼吸困难、紫绀及意识丧失等。现将我院两例由于输入甘露醇引起的高血钾病报告如下。病例一:患者男性,49岁。1983年11月因脑外伤入院。次日病人出现脑水肿,立即给20％甘露醇脱水治疗。五天内共输甘露醇
Mannitol polysaccharide sugar, molecular weight 182.17, its 5.07% aqueous solution and serum into isotonic. Commonly used in clinical 20% aqueous solution of dehydrating agent. Its side effects may appear hypernatremia, hyperosmolar coma; injection too fast can be headache, blurred vision, dizziness, palpitations, individual patients may have allergic reactions; 3 to 6 minutes after injection sneeze, nasal fluid, tongue swelling , Dyspnea, cyanosis and loss of consciousness. Now in our hospital due to the input of mannitol in two cases of hyperkalemia reported as follows. Case 1: Male patient, 49 years old. 1983 November due to brain injury hospitalized. The next day, patients with brain edema, dehydration immediately to 20% mannitol. Total mannitol within five days