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目的探讨治疗肾病综合征所致水肿或伴腹/胸水者的治疗方法。方法收集本院近3年来应用低分子右旋糖酐、多巴胺、速尿治疗的肾病综合征水肿患者83例,总结分析经过治疗后,水肿或伴胸水、腹水消退的时间、血浆白蛋白升高的水平。结果治疗3周后,水肿完全消退者总74(89.2%)例,白蛋白升高>5g/L者总68(81.9%)例;另外9例,加用白蛋白或血浆继续治疗2周后水肿伴腹/胸水者逐渐消退。结论应用低分子右旋糖酐、多巴胺联合速尿治疗肾病综合征所致水肿或伴腹/胸水者的水肿消退时间快,减少尿蛋白,同时可以升高血浆白蛋白水平,疗效显著,不良反应小,值得在临床中进一步推广应用。
Objective To explore the treatment of nephrotic syndrome caused by edema or with abdominal / hydrothorax treatment. Methods 83 cases of nephrotic syndrome edema treated with low molecular weight dextran, dopamine and furosemide in our hospital in recent 3 years were collected. The edema or with pleural effusion, the time of ascites subsided and the level of plasma albumin after treatment were summarized and analyzed. Results After 3 weeks of treatment, the total edema disappeared 74 (89.2%) cases, albumin increased> 5g / L total 68 (81.9%) cases; the other 9 cases, plus albumin or plasma treatment for 2 weeks Edema with abdominal / hydrothorax gradually subsided. Conclusions The application of low molecular weight dextran and dopamine in combination with furosemide in the treatment of edema caused by nephrotic syndrome or edema associated with abdominal / hydrothorax can quicken the time of edema, decrease the urinary protein and raise the level of plasma albumin with significant curative effect and small adverse reactions. In the clinical further promotion and application.