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患者男,46岁,因坐骨神经痛于1988年12月20日和21日晚各服雷公藤醇剂30ml,2小时后均出现神志恍惚和共济失调现象。数小时后自行缓解。22日又服50ml 后即出现上腹部剧痛,呕吐咖啡样液体和解褐色血水样大便;寒战高热。到当地医务所治疗,上述症状加重于26日送本院抢救。体检:T36.5℃,血压测不出,面色苍白,心率52次/分。腹软,满腹压痛,无反跳痛。化验:Hb115g/L,RBC4.5×10~(12)/L,WBC4.3×10~9/L,血小板80×10~9/L;尿蛋白(+);大便呈褐黄色稀便,镜检 RBC++,WBC+++,OB(+);血钾
Male, 46 years old, suffering from sciatica on Dec. 20, 1988 and 21 on the evening of December 30, each serving of Tripterygium alcohol 30ml, 2 hours after the phenomenon of delirium and ataxia. After a few hours to ease themselves. Appeared on the 22nd after 50ml of abdominal pain, vomiting, coffee-like liquid solution of brown blood stool; chills high fever. To the local medical treatment, the above symptoms aggravate on the 26th to save the hospital. Physical examination: T36.5 ℃, blood pressure can not be measured, pale, heart rate 52 beats / min. Abdominal soft, full of tenderness, no rebound pain. Laboratory: Hb115g / L, RBC4.5 × 10-12 / L, WBC4.3 × 10 ~ 9/L, platelets 80 × 10 ~ 9 / L; urine protein Microscopy RBC ++, WBC +++, OB (+); serum potassium