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患者,女,45岁。于3天前因食剩菜后出现腹痛腹泻,为稀水样便,每日5次,无脓血,无怕冷发热及恶心呕吐。病后在当地医院拟诊急性肠炎给予5％GS、5％GNS各500ml加庆大霉素20万u静滴,次日腹痛腹泻停止,改用庆大霉素8万u肌注、每日二次。第3天出现面部浮肿,恶心呕吐,为胃内容物,尿量较前明显增多,每日约2500ml,过去无肾炎病史。以急性胃肠炎收住我院。检查:面部及眼脸浮肿,心肺(-),腹软,两肾区叩击痛(±),双下肢水肿。红细胞3.6×10~(12)/L,血红蛋白110g/L,血小板120×10~9/L,白细胞8×10~9/L,中性
Patient, female, 45 years old. 3 days ago due to food leftovers after abdominal pain and diarrhea, watery stool, 5 times a day, no blood, no fear of cold fever and nausea and vomiting. After the disease in the local hospital diagnosed with acute enteritis given 5% GS, 500ml of 5% GNS plus gentamicin 200,000 u intravenous infusion, the next day abdominal pain diarrhea stopped using gentamicin 80000 u intramuscular injection, daily Second time Day 3, facial edema, nausea and vomiting, stomach contents, urine output increased significantly compared with the previous day about 2500ml, no past history of nephritis. Acute gastroenteritis admitted to our hospital. Check: face and face edema, cardiopulmonary (-), abdominal soft, perineal area percussion pain (±), both lower extremity edema. Erythrocyte 3.6 × 10 ~ (12) / L, hemoglobin 110g / L, platelet 120 × 10 ~ 9 / L, white blood cells 8 × 10 ~ 9 / L,