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病历摘要患者男性,44岁,病案号71775。以肾病综合征、肾功能衰竭及DIC之诊断于1977年6月21日入院。当时查体:全身浮肿,大片紫癜;血压60/50mmHg;NPN67.5mg%,血钾2.8mEq%,CO_2CP36—12vol%,凝血酶原时间20秒(正常对照15秒),血小板6.4万/mm~3,纤维蛋白原0.36g%;3P试验阳性,凝血时间(试管法;下同)5分。当即投予肝素5,000单位静滴。二小时后凝血时间为25分,恰为肝素化指标。故于第一次给药后11小时复给肝素3,000单位。至第一次给药后24小时,病情明显好转。
Patient summary Male patient, 44 years old, medical record number 71775. The diagnosis of nephrotic syndrome, renal failure and DIC was admitted on June 21, 1977. At that time physical examination: body edema, large purpura; blood pressure 60/50 mmHg; NPN67.5mg%, potassium 2.8mEq%, CO_2CP36-12vol%, prothrombin time 20 seconds (normal control 15 seconds), platelets 64000 / mm ~ 3, fibrinogen 0.36g%; 3P test positive clotting time (test tube method; the same below) 5 points. 5,000 units of heparin immediately intravenous infusion. Two hours later clotting time of 25 points, just for the heparin index. Therefore, 11 hours after the first administration of heparin 3,000 units. 24 hours after the first dose, the condition improved significantly.