汪某,女,43岁。因发热六天伴无尿二天于1986年9月22日入院。入院前六天无诱因发热,服药后热渐退,继之腹泻,县医院拟诊中毒性菌痢,予以补液及对症治疗。发病第四天血压降至10.7/6.67kPa,使用多巴胺、低分子右旋糖酐等维持血压。第五天开始无尿,第六天患者出现烦躁、谵语,急 Wang Mou, female, 43 years old. Six days due to fever with anuria two days in September 22, 1986 admission. Six days before admission, there was no incentive fever, fever after taking medicine, followed by diarrhea, county hospital suspected toxic bacillary dysentery, to be rehydration and symptomatic treatment. On the fourth day of onset, the blood pressure dropped to 10.7 / 6.67kPa, using dopamine, low molecular weight dextran, etc. to maintain blood pressure. No urine on the fifth day, the sixth day patients with irritability, suicidal, urgent