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

3????????????????NPN?????????????????????????????????????????????
(4)?????????????????????????????????????????
(5) ????????????????????????????????????????????????????????????????
6????????????????????????714?27????????ARF?...

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?????????????(?) ??????
1????
?????????????????????????????????????????????????????1.010~1.020??280mOsm/(kg?H2O)???CRF???????????? ??
2??????
(1)??
???????????????V???????????????????????????????????????????????? ?????
(2)???
???????125(OH)2D3???????????????????????
??????????D-125(OH)2D3?????????...

????

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

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

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