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以前曾报导过两例急性少尿性肾功能衰竭与接触柴油有关。本文中的病例在英国还是第一次报导,进一步证明柴油应列为肾毒物之一。患者男性,47岁,主诉上腹部及腰部疼痛、口渴、夜尿症、恶心、食欲不振、一月来极度衰弱、阴囊肿胀一周。并据患者声称,他在修建房屋的过程中曾用柴油洗过手和手臂。检查发现:脸色苍白呈病态、双侧腰部有压痛、阴囊水肿。最早化验检查:血红蛋白11.9g/100ml,白细胞计数6.7×10~9/l,红细胞沉
Two cases of acute oliguric renal failure previously reported to be associated with diesel exposure. The cases reported in this article were the first in the UK to report further evidence that diesel should be classified as one of the nephrotoxic agents. Male, 47, complains of upper and lower abdominal pain, thirst, nocturia, nausea, loss of appetite, extremely weak in January and swollen scrotum for a week. According to the patient, he used diesel to wash his hands and arms during the construction of the house. Check found: pale pale, waist and tenderness, scrotal edema. The earliest laboratory tests: hemoglobin 11.9g / 100ml, white blood cell count 6.7 × 10 ~ 9 / l, erythrocyte sedimentation rate