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G M,

IC

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DAMIC 2010: E, AB

, 2010

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C

L

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C

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M

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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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: , ,

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E

I

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/

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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)

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A

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2010

C . C

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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

I ( ), H

JAMA, 2004

I . H B I

6

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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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( )

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HA

H ,

C

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(1:1:1)

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( 1 2010)

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C 121HC3 16.6

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A

,

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B FM, E C, B F, .(J 2008). "I

".. . . .358 (2): 12539

B F, IG, , D. H . , . . . .

....

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