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患者,女,64岁,因“腹泻1天,伴胸闷憋气半小时”急症入院。既往有糖尿病史31年,糖尿病肾病史7年,肾功能不全史3月。入院前因当日腹泻水样便10余次,在外输液治疗后好转,但无尿。于夜间突发胸闷憋气、烦燥急症入院。入院查体:BP20/12kPa,神志恍惚,烦燥,尿毒症面容,双睡孔等大,双肺无罗音,心率50次/分,律尚齐,心音低钝,无杂音。四肢肌张力减弱,肌力低,腱反射消失,病理反射未引出。急查血钾示
Patients, female, 64 years old, due to “diarrhea 1 day, with chest tightness, suffocation for half an hour” emergency admission. Past history of diabetes 31 years, history of diabetic nephropathy 7 years, history of renal insufficiency in March. Before admission because of the day of diarrhea, water samples will be more than 10 times, improved after infusion therapy, but no urine. Sudden chest tightness at night suffocation, irritability emergency admission. Admission examination: BP20 / 12kPa, trance, irritability, uremia face, double sleep hole and other large lung no Luo sound, heart rate 50 beats / min, the law is still homogeneous, low heart sound blunt, no noise. Weak limb muscle tension, low muscle strength, tendon reflex disappeared, pathological reflex did not lead. Rapid check potassium shows