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例1,男,24岁。因服氯化汞20g伴腹痛、呕吐4小时,呕血3小时入院。服药2小时后外院清水10000ml洗胃并口服鸡蛋清300ml,4小时后转入我院。查体:急性病容,咽部粘膜明显充血,心肺检查无异常,上腹部弥漫性压痛,肝区、肾区叩痛,肠鸣音活跃。化验:尿蛋白(+)、尿白细胞1～2个/高倍。血白细胞19.7×10~9/L、中性88％,谷丙转氨酶123u、黄疸指数9u,血糖3.774 mmol/L,肌酐380.12 μmol/L,尿素氮14.7mmol/L。入院后给予解毒(二疏基丁二酸钠)、补液及止血等治疗,当天尿量300ml,次日
Example 1, male, 24 years old. Due to serving mercuric chloride 20g with abdominal pain, vomiting 4 hours, hematemesis 3 hours admission. 2 hours after taking the hospital water 10000ml gastric lavage and oral egg 300ml, 4 hours later transferred to our hospital. Physical examination: acute disease, the mucosa of the pharynx hyperemia, no abnormal heart and lung examination, diffuse tenderness on the abdomen, liver, kidney area percussion pain, bowel sounds active. Laboratory tests: urinary protein (+), urinary white blood cells 1 to 2 / high times. Blood leukocyte 19.7 × 10 ~ 9 / L, neutral 88%, alanine aminotransferase 123u, jaundice index 9u, blood glucose 3.774 mmol / L, creatinine 380.12 μmol / L, urea nitrogen 14.7mmol / L. After admission to give detoxification (sodium diSodium succinate), rehydration and hemostasis and other treatment, the day the amount of urine 300ml, the next day