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患者李某,男,58岁,农民。因和爱人口角后而服异稻瘟净乳剂约20～30ml,当时感(口恶)心、头昏、全身无力、无呕吐。半小时后即送当地医院,经洗胃、灌肠、阿托品、解磷定等抢救,第二天出现无尿,经大剂量速尿、利尿合剂治疗二天无效,血BUN17.85mmol/L,血Cr742umol/L,而转入我院。体检:血压14.5/8.5kPa,神情,皮肤及巩膜轻度黄染,面部及双下肢皮肤轻度凹陷性浮肿,口腔有大蒜味,两肺呼吸音粗,心率90次/分,律齐,腹部稍膨隆,全腹压痛,无反跳痛,肝脾触诊不满意,有移动性浊音。实验室检查,血常规,WBC18×10~9/L,N82%,Hb110g/L;尿常规,红细胞+++,旦白++;
Patient Lee, male, 58 years old, farmer. Due to the lover’s mouth and after serving different rice blast net emulsion about 20 ~ 30ml, then feeling (mouth evil) heart, dizziness, general weakness, no vomiting. Half an hour later sent to the local hospital, the gastric lavage, enema, atropine, Phosphorus given such rescue, the next day there was no urine, high-dose furosemide, diuretic mixture for two days invalid, blood BUN17.85mmol / L, blood Cr742umol / L, and transferred to our hospital. Physical examination: blood pressure 14.5 / 8.5kPa, look, mild yellowish skin and sclera, mild depression of the face and lower extremity skin edema, oral garlic smell, coarse breath sounds of both lungs, heart rate 90 beats / min, law Qi, abdomen Slightly bulging, full abdominal tenderness, no rebound tenderness, liver and spleen palpation are not satisfied, there is mobility dullness. Laboratory tests, blood, WBC18 × 10 ~ 9 / L, N82%, Hb110g / L; urine routine, red blood cells +++, white ++;