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普通外科手术后的肾脏并发症(作者译)

[Renal complications after general surgical operations (author's transl)].

作者信息

Eigler F W, Eigler J, Lutzeyer H W

出版信息

Langenbecks Arch Chir. 1977 Nov;345:571-9. doi: 10.1007/BF01305541.

Abstract

Oliguria, an easily recognizable symptom of postoperative acute renal failure, is analyzed schematically in terms of various diagnostic aspects and a pragmatic therapeutic procedure. Differentiation among pre-, intra-, and postrenal disturbances is important. Acute renal failure caused by simultaneous and often severe insufficiency of other organs, especially in combination with septicemia, still has a bad prognosis. Prophylaxis in the form of adequate volume substitution and shock therapy is urgent in each case.

摘要

少尿是术后急性肾衰竭易于识别的症状,本文从不同诊断方面和实用治疗程序对其进行了概要分析。肾前性、肾性和肾后性紊乱的鉴别很重要。由其他器官同时且常为严重功能不全引起的急性肾衰竭,尤其是合并败血症时,预后仍然很差。在每种情况下,以充分的容量替代和休克治疗形式进行预防都很紧迫。

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