论文部分内容阅读
病历摘要患者男33岁,因颈部肿块、少尿于1984年3月27日入院。于1988年12,患者出现颈部肿块,伴发热。外院经淋巴结活检证实为“恶性淋巴瘤、淋巴细胞分化不良型”,应用顺铂治疗,每次90mg,每3周用一次。当用到第三次后,病人发生尿少(每日200～400ml)5天,食欲减退,恶心,全身无力。过去史和家族史无特殊,体检:贫皿貌,血压150/100,左侧颈部触及3个花生至白果大淋巴结。心肺、肝脾及其它部位检查无明显异常。血色素7.0g％,RBC240万,WBC7000。尿蛋白(+)～(++)尿红细胞3～4,颗粒管理0～1,?渗透压310毫渗量/公斤水,尿钠97毫当量/升,血尿素氮(80毫克/分升,肌酐16毫克/分开,血钾3.5mEq/L,Na129mEq/L,Cl108mEq/L,血沉61mm,SGPT(-),AKP(-),血清
Medical history Abstract Male patient 33 years old, due to neck mass, oliguria in March 27, 1984 admission. In 1988 12, patients with cervical mass, with fever. Outside the hospital by lymph node biopsy confirmed as “malignant lymphoma, lymphocyte dysplasia,” the application of cisplatin treatment, each 90mg, once every 3 weeks. When used for the third time, the patient developed oliguria (200-400ml daily) for 5 days, anorexia, nausea and general weakness. Past history and family history no special, physical examination: poor appearance, blood pressure 150/100, the left neck touched three peanuts to the large ginkgo lymph nodes. Cardiopulmonary, liver and spleen and other parts of the examination no obvious abnormalities. 7.0g% hemoglobin, RBC2.4 million, WBC7000. Urine protein (+) ~ (++) Urine red blood cells 3-4, particle management 0 ~ 1, osmotic pressure 310 ml osmotic / kg water, urine sodium 97 meq / L, blood urea nitrogen (80 mg / , Creatinine 16 mg / mL, serum potassium 3.5 mEq / L, Na129 mEq / L, Cl108 mEq / L, ESR 61 mm, SGPT (-), AKP