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为探讨低分子右旋糖酐加速尿治疗小儿肾病综合征水肿的疗效。应用低分子右旋糖酐5～10 ml/kg加速尿1 mg/kg,每日1次,每小时1～3 ml/kg静脉滴注;消肿后停速尿,低分子右旋糖酐可继续应用2周。结果见治疗16例(22例次),治疗后7天内消肿者68.18％,治疗2周消肿者达95.45％。平均消肿于治疗后4.76±1.79天。认为低分子右旋糖酐加速尿合用利尿效果显著,可以做为小儿肾病综合征水肿的常规而有效的治疗方法。
In order to investigate the effect of low molecular dextran accelerated urinary treatment of children with nephrotic syndrome edema. Application of low molecular weight dextran 5 ~ 10 ml / kg speed up urine 1 mg / kg, 1 day, 1 ~ 3 ml / kg intravenous infusion; Diastolic urination, low molecular weight dextran can continue for 2 weeks. The results see the treatment of 16 cases (22 cases), within 7 days after treatment, swelling was 68.18%, 95.45% for 2 weeks of treatment. The average swelling in 4.76 ± 1.79 days after treatment. It is believed that low molecular dextran accelerates urine diuretic effect significantly and can be used as a routine and effective treatment for children with nephrotic syndrome edema.