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回×,男,25岁,于1985年2月12日住院。 1年前因腰痛、浮肿,肾功能减退,诊断为“慢性肾炎”,经积极治疗,症状明显好转。约3月前浮肿重现,并陆续出现贫血、头痛、心悸、气促与双眼失明。食欲减退。尿量每日在1000ml以下。经体检及临床生化检查,确诊为ESRD。采用上海产Tenckhoff管及自制瓶装腹透液先作1、P、D。以后改为C、A、P、D,在第14透析日出现低热与全身不适,第22透析日有上腹轻痛,给予对症与抗菌素治疗无效。第28透析日发现透出液变混。常规检查:白细胞1108/mm~3,分类;中性15％,淋巴30％,嗜酸粒细胞55％。同日查血象,
Back to ×, male, 25 years old, was hospitalized on February 12, 1985. A year ago because of back pain, edema, renal dysfunction, diagnosed as “chronic nephritis”, after active treatment, the symptoms improved significantly. About 3 months ago edema recurrence, and one after another anemia, headache, palpitations, shortness of breath and blindness. Loss of appetite. Urine daily below 1000ml. After physical examination and clinical biochemical examination, diagnosed as ESRD. The use of Shanghai-made Tenckhoff tube and homemade bottled peritoneal fluid prior to 1, P, D. Later changed to C, A, P, D, fever and general discomfort on dialysis day 14, on the 22nd dialysis day with mild abdominal pain, giving symptomatic and antibiotic treatment ineffective. On the 28th dialysis day, it was found that the fluid leaked out. Routine examination: white blood cells 1108 / mm ~ 3, classification; 15% neutral, lymphatic 30%, eosinophils 55%. Blood tests on the same day,