近年来呋塞米(furosemide)引起急性胰腺炎的病例已有报道。我们最近遇到1例,报道如下。患者,男,16a。因尽量减少,全身水肿1wk来诊。诊断:“肾病综合征”。给予口服泼尼松20mg,tid。治疗2wk,水肿不退,尿量400-600 mL/d,遂加用呋塞米40mg,po,tid。d9出现持续性上腹部疼痛、阵发性加剧,呕吐数次。检查:T38℃,BP14.6/9.3kPa。左上腹有压痛,移动性浊音(一)。血:Hb120g/L,WBC12×10~9/L,N0.80。血淀粉酶8535 nmol/s(Somogyi法512U)。血钾3.2mmol/L,血钠130 mmol/L。腹部“B”型超声波提 In recent years, cases of acute pancreatitis caused by furosemide have been reported. We recently encountered a case, reported as follows. Patient, male, 16a. Due to minimize, systemic edema 1wk visit. Diagnosis: “nephrotic syndrome.” Give oral prednisone 20mg, tid. Treatment 2wk, edema, urine output 400-600 mL / d, then add furosemide 40mg, po, tid. d9 persistent upper abdominal pain, paroxysmal increase, vomiting several times. Check: T38 ℃, BP14.6 / 9.3kPa. Left upper quadrant tenderness, mobility dullness (a). Blood: Hb120g / L, WBC12 × 10 ~ 9 / L, N0.80. Blood amylase 8535 nmol / s (Somogyi method 512U). Potassium 3.2mmol / L, sodium 130 mmol / L. Abdomen “B” ultrasonic mention