??????

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

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

??????????????????????
??????????????????20:1???40??^
??
????40%~80%????????????????????????????????????????????
???
???????k???? ???????????90%????????????????????????????????????????
???
????????????1/4??200X????B??PH8.0??100
?
90%??????????????????17%~25%??
??
?????????????>0.42mmol...

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