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病历摘要侯某某,女,15岁.因面部浮肿、血尿5天于1986年3月10日入院。体检:T36.5℃,P84次,R22次,Bp150/100mmHg。眼睑及面部浮肿,心肺(-),肝脾未扪及。双侧肾区叩痛.血 WBC5.6×10~9/L,N62%,L38%。尿 RBC++++,蛋白++++,WBC+,细颗粒管型+.血尿素氮5.6mmol/L.诊断为急性肾小球肾炎.入院后给以青霉素 G 钠400万 u,氟美松10mg 加液体500ml 静滴每日一次.静滴头两天病人烦躁不安,第三次用药后半小时,患者突然尖叫一声,随即意识丧失,
Medical record Hou Moumou, female, aged 15. Due to facial edema, hematuria, 5 days in March 10, 1986 admission. Physical examination: T36.5 ℃, P84 times, R22 times, Bp150 / 100mmHg. Eyelid and facial edema, cardiopulmonary (-), liver and spleen not palpable. Bilateral kidney area percussion pain WBC5.6 × 10 ~ 9 / L, N62%, L38%. Urine RBC ++++, protein ++++, WBC +, fine tube + blood urea nitrogen 5.6mmol / L. Diagnosis of acute glomerulonephritis.After admission to penicillin G sodium 4000000 u, dexamethasone 10mg plus liquid 500ml intravenous drip once a day. Intravenous drip two days patient irritability, half an hour after the third dose, the patient suddenly screamed, then loss of consciousness,