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目的总结肝血吸虫病上消化道出血患者合并尿路感染与急性肾功能不全的诊断与治疗经验。方法观察诊疗一名28岁男性患者。开始主诉恶心、呕吐,少尿3 d,皮肤黄染1 d入院,立即进行的查体及辅助检查,明确诊断,在最适宜的条件下完成血液透析与药物治疗。结果经治疗病情好转,血BUN、肝酐、血钾、血尿酸分别由79 mmol/L,1 166.8μmol/L,5.96 mmol/L,445.4μmol/L降到5.27 mmol/L,106.6μmol/L,4.7 mmol/L,193μmol/L。结论经血液透析、药物,综合治疗肝血吸虫病上消化道出血患者合并尿路感染与急性肾功能不全,可获得满意疗效。
Objective To summarize the experience of diagnosis and treatment of hepatic schistosomiasis with upper gastrointestinal bleeding in patients with urinary tract infection and acute renal insufficiency. Methods Observation and treatment of a 28-year-old male patient. Begin to complain nausea, vomiting, oliguria 3 d, yellow skin 1 d admission, physical examination immediately and auxiliary examination, a clear diagnosis, under the most appropriate conditions to complete hemodialysis and drug treatment. Results After treatment, the serum levels of BUN, HBP, serum potassium and serum uric acid decreased from 79 mmol / L, 1 166.8μmol / L, 5.96 mmol / L and 445.4μmol / L to 5.27 mmol / L and 106.6μmol / L , 4.7 mmol / L, 193μmol / L. Conclusion Hemodialysis, drugs, integrated treatment of liver schistosomiasis patients with upper gastrointestinal bleeding with urinary tract infection and acute renal insufficiency, can be satisfied with the results.