????

?????????????????????????acute tubular necrosis, ATN)????
?
????
??????????????????????????ATN?1-2???????????????????????????????????????????12??>400ml/d???1????????????????????????????????????2500ml/dATN??500ml??ATN?????
?
??????????
????????

?)1.0101.020???+++??
?????????^
)???????????80g/L
)?Ccr??50%??12ml/min????N---D????2-?????
)@?????????
)B???????
)ATN?^
?
???ATN??????????
??
????????????ATN?
2448???10%??????????E1?????????????????0.6g/kg.d3035kca/kg.d??????????????????????)...