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流行性出血热在治疗过程中出现低钾性代谢性硷中毒报道尚少。现介绍一例,以供参考。病情摘要张××,男,22岁,农民,×县人。于1976年12月1日突然畏寒、发热、头痛、乏力和全身酸痛。体温40.4℃,先按“感冒”治疗,三天后出现少尿。尿检查蛋白(+++)、红细胞(+)、管型少许。于第五病日测不到血压,经县医院积极扩容,补充碳酸氢钠溶液等措施后血压恢复正常,但尿量却日趋减少,一日仅100—200毫升。在第九病日出现尿闭、抽搐、神志模糊、咳嗽和气喘,血压增高达150/110毫米汞柱,于第十病日上午收住我院。
Epidemic hemorrhagic fever in the course of treatment of hypokalemic metabolic alkalosis is still reported. Now introduce a case for reference. Disease summary Zhang × ×, male, 22 years old, farmer, × county. Suddenly chills, fever, headache, fatigue and body aches on December 1, 1976. Body temperature 40.4 ℃, press “cold” treatment, oliguria three days later. Urine check protein (+++), red blood cells (+), a little tube. No blood pressure was measured on the fifth day, and the blood pressure returned to normal after the county hospital actively expanded capacity and supplemented with sodium bicarbonate solution. However, the urine output decreased day by day with only 100-200 ml. On the ninth day, urinary incontinence, convulsions, confusion, coughing and asthma appeared. The blood pressure was increased to 150/110 mm Hg and admitted to our hospital on the morning of the tenth day.