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患者,女,36岁。因双下肢及颜面浮肿10天,恶心呕吐、无尿3天于1990年9月12日入院.体检:一般情况尚可,心肺无异常发现,颜面及双下肢水肿。实验室检查:Hb 45g/L,BUN58.7mmol/L,Cr1768μmol/L,CO_2 cp 10.50mmol/L,血清K~+5.8mmol/L。诊断为肾功能衰竭,尿毒症,高钾血症。入院后一直少尿,9月19日患者突然出现全身抽搐,神志不清,心电示波为室颤,经胸壁以200 J电能电击除颤转为窦性心律。考虑室颤或室速可能再发,又经鼻插入F7 4极食管电极导管,远端两只
Patient, female, 36 years old. Due to both lower extremities and facial swelling 10 days, nausea and vomiting, anuria 3 days in hospital on September 12, 1990. Physical examination: the general situation is acceptable, no abnormal heart and lung findings, facial and lower extremity edema. Laboratory tests: Hb 45g / L, BUN 58.7mmol / L, Cr 1768μmol / L, CO 2 cp 10.50mmol / L, serum K + 5.8mmol / L. Diagnosis of renal failure, uremia, hyperkalemia. After admission has been oliguria, September 19 patients with generalized convulsions, unconscious, ECG wave of ventricular fibrillation, the chest wall to 200 J electric shock defibrillation converted to sinus rhythm. Consider ventricular fibrillation or ventricular tachycardia may recur, and nasal F7 4-pole esophageal electrode catheter, the distal two