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例1:女,26岁。1983年12月20日16时生吞青鱼胆(鱼重4kg)一只,一小时后,上腹不适,恶心呕吐,脐周隐痛,伴稀便一次。次日呕吐仍频,服“止吐药”后减轻,但尿少。22日晨无尿,头昏,睑肿。25日因仍无尿住院。体检。血压150/90,双睑轻度浮肿。化验:尿蛋白(+),BUN64.5mg/dl,Cr4.1mg/dl,GPT164u。静注速尿、甘露醇及利尿合剂,导尿20ml。26日仍无尿,血压180/110,加用降压剂无效。27日尿蛋白(++++)。11时血透3小时,28、30日分别透析3、4小时,每次脱水0.5kg。30日20时突发急性肺水肿,心率160次,经毒毛旋花子苷K等一系列抢救得以控制。31日10时,肺水肿又发心率140次,血压170/120,处理同上,并静注汉防
Example 1: Female, 26 years old. December 20, 1983 16 hour students devour fish gall bladder (fish weight 4kg) one hour later, abdominal discomfort, nausea and vomiting, umbilical pain, with loose stool once. The next day vomiting is still frequent, taking “antiemetic” after the relief, but less urine. 22 morning no urine, dizziness, eyelid swelling. On the 25th still no urine hospitalization. Physical examination. Blood pressure 150/90, double eyelid mild edema. Assay: Urinary protein (+), BUN64.5mg / dl, Cr4.1mg / dl, GPT164u. Intravenous furosemide, mannitol and diuretic mixture, catheterization 20ml. 26 still no urine, blood pressure 180/110, plus antihypertensive agent is invalid. 27th day urine protein (++++). 11:00 hemodialysis 3 hours, 28,30 days were dialysis 3,4 hours, each 0.5kg dehydration. Sudden acute pulmonary edema at 20:00 on the 30th, the heart rate 160 times, the poisonous wool spinosad K and a series of rescue to be controlled. At 10:00 on the 31st, pulmonary edema and heart rate 140 times, blood pressure 170/120, the same treatment, and intravenous Han defense