论文部分内容阅读
患者男性,47岁,住院号20697。既往无药物过敏史。因上感中午服感冒清六片,服后感闷气、烦燥未经治疗好转。当日下午七时又服感冒清六片。次日晨五时感觉全身发痒,四肢、面部及躯干出现红色片状隆起的皮疹,前往当地医院就诊,给予“氯化钙”治疗。下午因闷气、全身水肿再次前往该院治疗,诊断为“血管神经性水肿”(药物过敏引起),经输液、糖皮质激素及抗过敏药物治疗后,全身水肿明显消退。尿总量约500毫升,次日未排尿,经导尿排出约100毫升。给予速尿60毫克,仍无尿,遂以“急性肾功能衰竭”转院。体检:血压80/54,脉搏96。两肺可闻及小水
Male patient, 47 years old, hospital number 20697. Past history of drug allergy. Due to the sense of flu at noon serving a clear six, after the service flu, irritability untreated improved. At seven o’clock in the afternoon and served a cold six. The whole body was itchy at 5 am the next morning. A red patchy rash appeared on the extremities, face and torso and went to the local hospital for treatment with “calcium chloride”. Afternoon due to stuffy, systemic edema again to the hospital for treatment, diagnosed as “angioneurotic edema” (caused by drug allergies), transfusion, glucocorticoid and anti-allergic drug treatment, systemic edema subsided. Urine total about 500 ml, did not urinate the next day, drainage catheter about 100 ml. Give furosemide 60 mg, still no urine, then “acute renal failure” transfer. Physical examination: blood pressure 80/54, pulse 96. Two lungs can be heard and a small water