论文部分内容阅读
病历,男,22岁,1974年6月17日腹泻20次,量不多,粘液水样便。次日20点高热,血压80/60毫米汞柱,静点葡萄糖盐水200毫升后,体温42℃,血压50/20毫米汞柱,呕吐一次,昏迷。在某医院予去甲基肾上腺素、654—2及阿拉明,补液,血压不升,6月19日行股动脉加压输血350毫升,中心静脉压从6升至12厘米水柱,血压130—150/90—110,始无尿,其后每24小时平均尿量0—240毫升。7月3日尿量逐渐增多。7月4日心界向左扩大,心率160次,有奔马律。7月6日清醒。病程中曾用过氯、四、青、先锋霉素、制霉菌素及痢特灵。血钾3.75—7.5毫当量/升,钠140—149毫当量/升,二氧
Medical records, male, 22 years old, June 17, 1974 Diarrhea 20 times, not much, mucus watery stools. 20 points the next day fever, blood pressure 80/60 mm Hg, intravenous glucose 200 ml, temperature 42 ℃, blood pressure 50/20 mm Hg, vomiting once, coma. In a hospital to norepinephrine, 654-2 and Alamin, rehydration, blood pressure does not rise, June 19 line femoral artery pressure transfusion of 350 ml, the central venous pressure rose from 6 to 12 cm water column, blood pressure 130- 150 / 90-110, beginning with no urine, then every 24 hours the average urine output 0-240 ml. July 3 urine output increased gradually. July 4 heart to the left to expand the heart rate 160 times, galloping horse. July 6 awake. Has used chlorine in the course of disease, four, green, Pioneer ADM, nystatin and furazolidone. 3.75-7.5 meq / L potassium, 140-149 meq / L sodium, dioxygen