??????

????
?????????????????????????????????????24???10151025??1???????????1001???1040??10100003?????????????1018?????0008????????????????????????????????????????????????

?SG??????????????????????????????????????????? ?4???????????????1??????????1010???????1003
2????????????????1040?????????????
????????...

???CRF???
?(?)
    ?(GFR)8050ml/min(?CFR)?{(Scr)133177mol/L??????
?(?)
    ?(GFR) 5020ml/minScr186446mol/L)???????????????
(?)
    GFR 2010ml/minScr451707mol/L????????????????????
(????)
    GFR 10ml/minScr707mol/L

????????????????????????...

???????????????????????????1.0151.030        ???????????????????????1.0100.003?
?????????m?????????????????m??????????????????????+?????,??,????.????,??,???,.?,?,,?,???,????,??,???,??,?,???.        ????????,????,???,???,??;30-40,?????,...

??acute renal failure ARF???R????????????????????
???
???
?????????
1????????????????
1???? 24?400ml??17ml??100ml24h??????????????1 020?2Ommo1L?????ARF??????????1.0101.012?40mmoIL????????????
2???????????????????????????????????????????????????????????????????????

3????????????????NPN???????...

???????
?.??
1. 3??
(1)??????>171mol/L???????????ALT?????????;
(2)?????3?23????;
(3)????????????????1????q???
2. ????????????
3.?? ????
4.?? ????????
5.? ?????????????
6.??? ?????(2)??23????????28??
7.?? ????????????????????????????
8.???????
9.???????????

.??
?????????
1.? ??????????????????
2....