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输尿管结石目前在国内多试用中医中药排石治疗,但适应症如选择不当,亦会造成不良后果。我院所遇一例,在用药过程中出现尿性腹水,临床上实属罕见,观报告如下: 患者,男,59岁,1982年10月30日急诊入院。患者因患两肾多发性结石,在外院住院服中药排石。在服药过程中突然出现右腰肤部绞痛,当时摄腹平片,发现右输尿管区有一结石贮留,并继续服中药以期将该结石排出。但服药10余天,逐渐出现全肤疼痛和肤胀,同时伴有恶心呕吐、停止排便、排气,病情明显加重,为此转入我院治疗。查体:T36℃,P100次/分,Bp110/90mmHg。痛苦病容,营养差,全身衰竭。心肺(一)。肤膨隆,全肤有巨痛、反跳痛和肌紧张,以右肤为重。肤部叩诊发浊,移动性浊音(+)。肠音减弱。右腰部叩击痛(+),皮肤有水肿。化验:血红蛋白14克%,白细胞9800/mm~3,分叶核79%,淋巴21%。血非蛋白氮38mg%,二氧化碳结合力40容
Ureteral calculi currently in the country more than traditional Chinese medicine row of stone treatment, but indications such as improper choice, will result in adverse consequences. A case of our hospital, in the course of medication appears ascites, clinically rare, the report is as follows: The patient, male, 59 years old, October 30, 1982 emergency admission. Patients suffering from multiple kidney stones, in hospital outpatient service row of Chinese medicine stone. Suddenly appeared in the course of medication right hemianoplasia cramps, belly film was taken at the time and found that there is a right ureteral stone storage, and continue to take traditional Chinese medicine in order to discharge the stone. However, medication for more than 10 days, the gradual emergence of skin pain and skin swelling, accompanied by nausea and vomiting, stop defecation, exhaust, the condition was significantly aggravated, to our hospital for treatment. Physical examination: T36 ℃, P100 beats / min, Bp110 / 90mmHg. Painful, poor nutrition, systemic failure. Heart and lung (a). Skin swelling, the skin has a huge pain, rebound tenderness and muscle tension, with the right skin as the most important. Skin percussion turbid, shifting dullness (+). Intestinal weakening. Right lumbar percussion pain (+), skin edema. Laboratory tests: 14 grams of hemoglobin, white blood cells 9800 / mm ~ 3, 79% leaf nucleus, lymph 21%. Blood non-protein nitrogen 38mg%, 40 carbon dioxide binding capacity