近六年来笔者采用酚妥拉明、多巴胺,速尿抢救急性肾功能衰竭(ARF)40例,临床疗效显著。本组40例均为住院病人,男29例,女11例,年龄14—73岁,平均年龄36.7岁。其原发病为急性肾小球肾炎并肾衰24例,药物性肾衰9例,严重感染并肾衰4例,围产期心肌病并肾衰2例,输尿管结石并肾衰1例。 当ARF确诊后,在治疗原发病,保证热量的基础上先用20％甘露醇20g—25g,速尿60—120mg,1小时后尿量少于17ml,即用酚妥拉明10—20mg,多巴胺5—10mg,10％葡萄糖250ml,速尿120—240mg静滴,15滴/分。如果有高血压危险现象,急性肺水肿改用硝普钠25mg,多巴胺10mg、10％葡萄糖250ml,速尿 Nearly six years I used phentolamine, dopamine, furosemide to rescue 40 cases of acute renal failure (ARF), the clinical curative effect is remarkable. The group of 40 patients were hospitalized patients, 29 males and 11 females, aged 14-73 years, with an average age of 36.7 years. The primary disease was acute glomerulonephritis and renal failure in 24 cases, 9 cases of drug-induced renal failure, severe infection and renal failure in 4 cases, perinatal cardiomyopathy and renal failure in 2 cases, ureteral calculi and renal failure in 1 case. When ARF diagnosis, the treatment of primary disease, to ensure that the heat on the basis of 20% of mannitol 20g-25g, furosemide 60-120mg, 1 hour after the urine output of less than 17ml, that is, with phentolamine 10-20mg , Dopamine 5-10mg, 10% glucose 250ml, furosemide 120-240mg intravenous infusion, 15 drops / min. If there is a risk of hypertension, acute pulmonary edema to sodium nitroprusside 25mg, dopamine 10mg, 10% glucose 250ml, furosemide