患者女性,52岁。因尿毒症伴心衰入院。既往有高血压、冠心病史16年,血压最高达26.6/16kPa。入院时端坐呼吸,面部、下肢重度水肿,24小时尿量少于300ml。心界扩大,心尖区可闻及Ⅲ级收缩期杂音,双肺散在干湿罗音。实验室检查:尿素氮36.2μmol/L,肌酐884μmol/L,二氧化碳结合力16.5mmol/L,血钾5.4mmol/L,血钠142mmol/L,血氯102mmol/L,血钙1. Patient female, 52 years old. Due to uremia with heart failure admitted to hospital. Past history of hypertension, history of coronary heart disease 16 years, blood pressure up to 26.6 / 16kPa. Admission when sitting breathing, facial, lower extremity severe edema, 24-hour urine output less than 300ml. Expand the heart, the apical area can be heard and Ⅲ systolic murmur, lungs scattered in the wet and dry rales. Laboratory tests: urea nitrogen 36.2μmol / L, creatinine 884μmol / L, carbon dioxide binding 16.5mmol / L, serum potassium 5.4mmol / L, serum sodium 142mmol / L, blood chloride 102mmol / L, serum calcium 1.