Acute renal failure on the clinical treatment.docVIP

 PAGE \* MERGEFORMAT 8 Acute renal failure on the clinical treatment [Keywords:] Clinical treatment of acute renal failure Referred to as acute renal failure with acute renal failure, for various reasons by the renal excretory function to the two rapid decrease in the short term, so that the normal glomerular filtration rate fell by 50% or less, acute oliguria (urine output less than 400 / d or no urine (urine output less than 100ml / d, accompanied by the rapid increase in serum creatinine and blood urea nitrogen, electrolyte disorders, acid-base balance, fluid overload, and thus a series of circulatory, respiratory, nervous , digestive, endocrine and metabolic changes in the clinical syndrome and other functions. Acute renal failure can be found in a variety of diseases, especially common in medicine, surgery and production, gynecological disorders. As the syndrome of different etiology and pathogenesis, so the clinical manifestations, treatment and prognosis are not the same. In recent years, early prevention of acute renal failure, timely diagnosis and adequacy of dialysis treatment, the mortality of acute renal failure decreased significantly, but the disease complex, critically ill, the elderly and patients with multiple organ failure, mortality remains high in patients. In addition to treating the cause, the various causes of acute renal failure caused by a common principle of treatment. 1. Conservative treatment (1 oliguria treatment ① into the fluid volume control: should be “Expenditure and Revenues,” the principle of control of fluid intake. Oliguric patients daily intake should be less than 1000ml. Daily fluid intake should be ≤ the day before urine output + stool, vomiting, drainage, and wound exudation +500 ml (one for the non-dominant water loss of endogenous water. temperature increase of 1 ℃ increase is not explicit about 10% water loss, water should be added into 0.1ml / (kg · h . oliguria should be rigorous testing of body