【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。更多还原

【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.更多还原