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一般认为慢性肾衰患者禁忌较大的手术,因手术常会使肾功能恶化。其原因部分是手术前后的脱水作用。慢性肾衰患者潴留钠水能力有缺损,故脱水较重。本文报导5例慢性肾衰在较大手术前后和手术时静脉输注生理盐水(简称盐水)3,500～8,000毫升防止了肾功能恶化。 3例系非那西汀肾病,1例系双侧肾盂积水,1
Generally considered as taboo in patients with chronic renal failure larger surgery, often due to surgical deterioration of renal function. The reason is partly due to dehydration before and after surgery. Chronic renal failure patients with sodium water retention capacity defects, it is heavier dehydration. This article reports 5 cases of chronic renal failure before and after major surgery and intravenous infusion of normal saline (referred to as saline) 3,500 to 8,000 ml to prevent the deterioration of renal function. 3 cases of phenacetin nephropathy, 1 case of bilateral hydronephrosis, 1