Kellum J A
University of Pittsburgh Medical Center, Division of Critical Care Medicine, Pennsylvania, USA.
Kidney Int Suppl. 1998 May;66:S67-70.
The use of diuretics in the acute care setting (intensive care units, operating rooms and emergency departments) is an area of significant clinical and laboratory research. These agents are frequently used to facilitate fluid management and in the hopes of protecting the kidneys from injury. The pros and cons of continuous infusion of loop diuretics, and albumin supplementation are discussed along with the issues related to their use to avoid dialysis or to improve outcome. In addition, the evidences is support of the use diuretics to prevent or treat acute failure in the acute care setting are reviewed and discussed.
在急性护理环境（重症监护病房、手术室和急诊科）中使用利尿剂是一个重要的临床和实验室研究领域。这些药物经常被用于促进液体管理，并希望保护肾脏免受损伤。本文讨论了持续输注袢利尿剂和补充白蛋白的利弊，以及与使用它们以避免透析或改善预后相关的问题。此外，还对支持在急性护理环境中使用利尿剂预防或治疗急性肾损伤的证据进行了综述和讨论。
