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我们于1980~1986年对危重型出血热急性肾功能衰竭(ARF)少尿早期的患者,进行以肝素50mg、山茛菪硷30mg静点2天及抗凝,扩血管治疗的观察,15例凝血时间均无延长,部分病例经使用速尿1~2天无效。对照组15例均采用大剂量速尿治疗,总量共0.18~12.56g。两组综合治疗措施相同。结果:对照组少尿历时2~25天,平均6天。所有病例均发生氮质血症,5例配合腹膜透析,氮质血症历时14~82天,平均21天。尿蛋白转阴11~65天,平均20天。治疗组11例(73%)治疗24小时内即见排尿显著增多,氮质血症
We observed the early treatment of critically ill hemorrhagic fever with acute renal failure (ARF) oligohydramnios from 1980 to 1986 with heparin 50 mg, anisodamine 30 mg for 2 days and anticoagulant and vasodilator therapy. Fifteen patients No coagulation time, in some cases by furosemide 1 to 2 days is invalid. The control group of 15 patients were treated with high-dose furosemide, with a total of 0.18 ~ 12.56g. The same two groups of comprehensive treatment. Results: The control group oliguria lasted 2 to 25 days, an average of 6 days. Azotemia occurred in all cases, 5 cases with peritoneal dialysis, azotemia lasted 14 to 82 days, an average of 21 days. Urinary protein negative 11 to 65 days, an average of 20 days. Eleven patients (73%) in the treatment group showed a significant increase in urination within 24 hours of treatment, azotemia