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王××,女,68岁,慢性肾盂肾炎30余年,高血压1O余年,确诊尿毒症3年。1991年12月26日因患“卵巢囊肿蒂扭转”行手术治疗。术后BP28.3/14.6kPa,量减少,水肿加重,血BUN42.7retool/L,SCR1323umol/L,RBC 1.8X10~(12)儿。以尿毒症脑病入我科行血液透析(简称血透)治疗。临床诊断:慢性肾盂肾炎,慢性肾功能不全,尿毒症期,尿毒症脑病,肺内感染。临床进行药物、血透等综合治疗,病情明显好转,但有时血压升高。住院168天共血透36次。在91年5月17日最后一次血透时,血压一直较高,并给予处理。透至3小时BP27.9/14.6kPa,出现左颞部为主的头痛,恶心,呕吐,神志清楚,瞳孔等大,颅神经无明显异常,
Wang × ×, female, 68 years old, chronic pyelonephritis more than 30 years, 10 years of hypertension, uremia diagnosed for 3 years. December 26, 1991 suffering from “ovarian cyst torsion” line of surgery. Postoperative BP28.3 / 14.6kPa, decreased volume, increased edema, blood BUN42.7retool / L, SCR1323umol / L, RBC 1.8X10 ~ (12) children. Uremia encephalopathy into my line hemodialysis (referred to as hemodialysis) treatment. Clinical diagnosis: chronic pyelonephritis, chronic renal insufficiency, uremia, uremic encephalopathy, pulmonary infection. Clinical drugs, hemodialysis and other comprehensive treatment, the condition was significantly improved, but sometimes elevated blood pressure. 168 days of total hemodialysis hospital 36 times. At the last hemodialysis on May 17, 1991, the blood pressure was consistently high and was given. Through to 3 hours BP27.9 / 14.6kPa, there is a left-sided head-based headache, nausea, vomiting, conscious, large pupils, cranial nerves no obvious abnormalities,