BAIRD R J, FIROR W B, BARR H W
Can Med Assoc J. 1963 Oct 5;89(14):705-8.
The operative and postoperative urinary output of 55 patients who underwent surgery for ruptured abdominal aortic aneurysms, unruptured abdominal aortic aneurysms, and aorto-iliac occlusive disease was recorded. There were five cases of postoperative anuria among 28 patients who received no free fluid in the immediate preoperative period. No case of anuria occurred in 27 patients who received either: (1) a water load of 5% dextrose in water or (2) 20% mannitol solution. The patients who received mannitol had a markedly greater operative and postoperative urinary output.Intravenous infusion of mannitol is recommended during the preoperative and operative period in patients with ruptured aneurysms of the abdominal aorta.
记录了55例接受腹主动脉瘤破裂、腹主动脉瘤未破裂和主-髂动脉闭塞性疾病手术患者的术中及术后尿量。在术前即刻未接受游离液体的28例患者中有5例术后无尿。在27例接受以下任何一种治疗的患者中未发生无尿情况：(1) 5%葡萄糖水溶液的水负荷或(2) 20%甘露醇溶液。接受甘露醇治疗的患者术中及术后尿量明显更多。对于腹主动脉瘤破裂患者，建议在术前和术中静脉输注甘露醇。
