摘要
目的：通过对肾移植术后患者早期尿量变化的监测，探讨肾移植术后的输液方案。方法：以44例肾移植患者术后早期（1～5d）尿量为研究对象，将术后第1日及第3日尿量、肾功能检查结果进行比较，采用回顾性研究的方法，调查3个方面的术后监控内容。结果：肾移植术后早期，尤其是前3d为术后尿量峰值（P〈0．001）。输液量依尿量而定（P〈0．001），同时术后早期多尿发生率高（81．82％）。结论：肾移植术后早期尿量是监测的重要内容，尿量与输液量的关系应依据“量出为入”的原则。
Objective：To study the transfusion regimen after renal transplantation, according to the change of urine volume in the early stage of renal transplantation. Methods：The urine volume of 44 patients in the early stage of renal transplantation was taken as the research objects. The urine volumes and the results of kidney function on the first day were compared with that on the third day, and the method of retrospective study was used to investigate the postopera- tive monitoring on three aspects. Results： In the early stage of renal transplantation, especially in the first three days the urine volume reached the peak （P〈0. 001 ）, the amount of infusion was decided based on the urine volume （P〈0. 001）. The rate of polyuria was very high （81.82%）in this period. Conclusion： The urine volume in the early stage of renal transplantation is a main project of the control, the relationship between the urine volume and the amount of infusion should be decided according to principle of “tax-and-spend”.
出处
《医学理论与实践》
2008年第5期509-511,共3页
The Journal of Medical Theory and Practice
基金
湖南省教育厅科学研究项目(07C063)
关键词
肾移植
早期尿量
输液方案
Renal transplantation, Urine volume in the early stage, Transfusion regimen
