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病历摘要例1 男,6岁。因浮肿、尿少、血尿2周,加重4天,尿量200ml/日以下。查体:血压130/95mmHg。颜面及周身浮肿,心肺未见异常,肝脾未触及,无腹水。尿常规:蛋白(+),红细胞散在满视野,白细胞15～20,尿素氮110mg％,二氧化碳结合力35.8容积％,血钾5.5mEg/L,血钠130mEg/L,血氯90mEg/L。入院诊断:急性肾小球炎合并急性肾功衰竭。住院后除常规治疗外,给予大剂量速尿140mg每6小时1次缓慢静注。5日后改为每日3次,连用3日后改为100mg/日,共用17日。用药后尿量逐日增加,第5日后达1000mL/日以上。尿素
Case history summary 1 male, 6 years old. Due to edema, oliguria, hematuria 2 weeks, increased 4 days, urine output 200ml / day or less. Physical examination: blood pressure 130 / 95mmHg. Face and body swelling, no abnormal heart and lung, liver and spleen not touched, no ascites. Urine routine: protein (+), red blood cells scattered in full field of vision, white blood cells 15 to 20, urea nitrogen 110mg%, 35.8% carbon dioxide binding capacity, potassium 5.5mEg / L, serum sodium 130mEg / L, blood chlorine 90mEg / Admission diagnosis: acute glomerulonephritis with acute renal failure. In addition to routine treatment after hospitalization, given high-dose furosemide 140mg every 6 hours a slow intravenous injection. 5 days later changed to 3 times a day, once every 3 days to 100mg / day, share 17 days. Urine volume increased day by day after the 5th day up to 1000mL / day. Urea