患者男,19岁,因“恶心,呕吐、少尿、腰部胀痛2d”来院检查。入院前6d因咀嚼和吞咽时疼痛、发热、腮部肿胀疼痛,在当地医院诊断为“流行性腮腺炎”,遂静脉滴注阿昔洛韦1g和头孢曲松1g,1次/d,用药后的前3d未感明显不适,第4次用药后出现剧烈呕吐,胸闷,腰部胀痛,继而少尿,无发热,既 Male patient, 19 years old, because of “nausea, vomiting, oliguria, waist pain 2d” to hospital for examination. 6d before admission because of chewing and swallowing pain, fever, swelling of the cheek pain in the local hospital diagnosed as “mumps”, then intravenous infusion of acyclovir 1g and ceftriaxone 1g, 1 / d, medication After the first 3d did not feel significant discomfort, the fourth after the emergence of severe vomiting, chest tightness, waist pain, then oliguria, fever, both