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服用中药麝香引起急性肾功能衰竭,较为罕见。我科遇到两例,报告如下: 例1:女,38岁。为了打胎于入院前5小时口服麝香一块(约1.5克),3小时后流产一男婴,半小时后又口服同样大小麝香一块,续之胎盘娩出,出血200ml左右。随即感胃部剧痛,伴恶心。体查:血压9.3/6.6 kPa。急性病容,腹软,剑突下压痛明显,无反跳痛。宫底位于脐与耻骨间,质硬。实验室检查:WBC 21.2×10~9/L,中性0.95,淋巴0.05。尿蛋白++,红细胞30~50个/高倍。NPN 46.3 mmol/L,
Taking Chinese medicine musk caused acute renal failure, more rare. Our department met two cases, the report is as follows: Example 1: Female, 38 years old. In order to abortion fetus 5 hours before admission, oral musk piece (about 1.5 grams), 3 hours after the abortion a baby boy, half an hour after oral administration of the same size of a musk, followed by the placenta was delivered, about 200ml of bleeding. Suddenly stomach pain, with nausea. Physical examination: blood pressure 9.3 / 6.6 kPa. Acute disease, abdominal soft, obvious xiphoid tenderness, no rebound tenderness. Palace at the end of the umbilical and pubic, hard. Laboratory tests: WBC 21.2 × 10 ~ 9 / L, neutral 0.95, lymph 0.05. Urine protein ++, 30 to 50 erythrocytes / high power. NPN 46.3 mmol / L,