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口服甘露醇作为纤维结肠镜检查前肠道准备,效果很好。得到了临床的肯定。我院于1995年始即采用此种新的肠道准备方法。但近期却遇1例因口服甘露醇致肠梗阻并发急性肾功能衰竭死亡病例,现报道如下。患者男,53岁。因不全性肠梗阻17天收入院。入院后经保守治疗12天后,肠梗阻症状消失,进半流质饮食。既往否认肾脏病史。住院期间查非蛋白氮及二氧化碳结合率正常。尿常规检查蛋白尿++。为进一步明确诊断,申请纤维结肠镜检查。护士遵医嘱于检查前
Mannitol orally as colonoscopy before colon preparation, the effect is very good. Got the clinical affirmation. Our hospital began using this new method of bowel preparation in 1995. However, in the recent case of 1 case of intestinal obstruction caused by oral administration of mannitol and acute renal failure death cases are reported below. Male patient, 53 years old. 17 days due to incomplete intestinal obstruction income hospital. After 12 days of conservative treatment after admission, symptoms of intestinal obstruction disappeared into the semi-liquid diet. Previously deny the history of kidney disease. Check non-protein nitrogen during hospitalization and carbon dioxide binding rate was normal. Urine routine examination of proteinuria. To further confirm the diagnosis, apply for colonoscopy. Nurses follow the doctor’s advice before the test