[Restoration of diuresis in the initial period of the oligoanuric stage of acute renal failure by dopamine-furosemide infusion].

Dopamine-furosemide infusion was used in 31 patients with acute renal insufficiency (ARI) of various etiology in the initial period of the oligoanuric stage. The circulating blood volume was recovered in all the patients by infusion therapy and diuresis stimulation with mannitol and furanthril. The failure of these therapeutic measures was indicative of the presence of the oligoanuric stage of ARI. Dopamine was administered by intravenous drop infusion at a dose of 1-4 microgram/kg/min for 3-4 h followed by intravenous injection of 200 mg of furanthril. Dopamine infusion lasted for 4 more hours (even longer, if necessary), and furanthil during the 1st day was administered at a dose of 200 g every 6 h. The recovery of diuresis and renal function was observed in 13 patients (41.93%), diuresis was recovered but renal insufficiency remained (ARI oligoanuric type was transformed into polyuric type) in 14 patients (45.16%), no effect was noted in 4 patients (12.9%).