血液透析和导泻疗法治疗肾综合症出血热急性肾功衰竭之比较  

COMPARISON BETWEEN HEMALODIALYSIS AND CATHARSIS IN TREATING ACUTE RENAL FAILURE OF HEMORRHAGIC FEVER WITH RENAL SYNDROME

作　　者：张玉江 张玉海[1,2] 李洪栋 周玉霞 万宝美[1,2] 尹燕明 

机构地区：[1]聊城地区职工医院 [2]泰山医学院中医学教研室

出　　处：《泰山医学院学报》1999年第2期128-129,共2页Journal of Taishan Medical College

摘　　要：目的探讨血液透析（血透）和导泻疗法治疗肾综合症出血热（ＨＦＲＳ）急性肾功衰竭疗效比较。方法血透组５２例，用碳酸透析液、小剂量肝素化，平均透析３８０次。导泻组５６例，用甘露醇、大黄、芒硝口服导泻，一日两次。结果对照两组ＢＵＮ、Ｃｒ、尿常规恢复正常日数，血液组明显少于导泻组。Ｐ＜０．０１。结论对ＨＦＲＳ－ＡＲＦ患者应及早实施血透。Objective:To compare the effect of hematodialysis with that of catharsis in treating acute renal failure(ARF) of hemorrhagic fever with renal syndrome(HFRS).Methods:hematodialytic group(52 patients)were dialysed 3.8 time a day on average with dicarbonic dialysate containing,low dose heparinized ,while cathartic group(56 patients) were catharized with mannitol,rhubarb and mirabilite peros,twice a day by oral administration.Results:The days for BUN,Cr and routine urine examination to ricover norm in hematodialytic group(P<0.01).Conclusions:HFRS-ARF patients should be hematodialgsed in time.

关 键 词：肾综合症出血热 急性肾功能衰竭 血液透析 导泻 

分 类 号：R692.505[医药卫生—泌尿科学]