Post on 04-Jun-2018
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G M,
IC
A H, E, AB
DAMIC 2010: E, AB
, 2010
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C
L
D5
3% C
C
H
M
I
25% A
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D I: 1300L
: ( ) : 300L
D
: 500: 500L
: 400L
: 200L
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Average adult fluid compartments
Intravascular: 3-4 L
Interstitial: 9-10 L
Intracellular: 30-35 L
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M
H 20 . 3060 /L
B H
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E
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. .
35 17 25 10 8 235 17 23 12 6 6
35 20 25 10 5 530 17 25 5 8 3
AE F : A H
E F : H
F M I : F
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F G
: , ,
E
I
GI : ,
E
I
H
I
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/
F
C
A
A
H
H
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A
B B D
H A
C C C A
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//
//
/
I 154/154 308
L
130/109 4/3 28 275
5
A
145 145 309 50
25%A
6 145/145 2 312 250 /L
H 600 154/154 309 60 /L
H 250 154/154 326 100 /L
H
130 154/154 308 60 /L
HE
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()
A $ 65100
67 D 20 B
25%H(H)
600 D 46 AF, C,A
()
250 D 2 C, AF,
A
H()
$ 25250
130 D 12 , C,A ,
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2010
C . C
EB
D
(0)
B
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L
G 2, C, L, C, H...
A M > 200 D (AKI)
M
A AKI
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.
J , M 2007
G 5 . L
L: , /,
C C, 2009
L: L ELI, MA,
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.
2008 C C
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JAMA, 2004
I . H B I
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.
2009 C C
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.
(5% )
13.6% 10.0% 1.36(.991.86)
30.7 35.3 0. 7
(.741.02)
AD 39.3% 42.4% 0.93(.611.41)
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( )
F
FDA ,
HA
H ,
C
D
B
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(1:1:1)
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:
I
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( 1 2010)
25 M,
10L
H .11
C 121HC3 16.6
14 BC, 2 FF, 1
I 1.6F 1.1
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A
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B FM, E C, B F, .(J 2008). "I
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B F, IG, , D. H . , . . . .
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C, J., M, ., MD, F., M, L., L, J., C, G., , A., B, ., , J., H
F , B , B , F J, M J, ; AFE I. A . E J M. 2004;350:22472256.
M G, L CA. F . C C M. 2004;25:683694.
, I, M. C . , . . . .
. . . .
, C., , K., H, D., , ., D, J., , J., , M. . L : , . C C 2009 13:30
, J., G, ., L, D., A, ., C, G., G, M., L, A., , ., M, M.B C G I F A , 2009
GJ, M , M G, B G, G JM, E . A
. C C M. 2004;32:755759., F., , ., C, ., , ., , J., F : A,
, L D ? 2007 27(5)520526
, ., M, D., M, ., , M. L . J M 2007 62(3) 636639