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患者女,27岁。因误服农药双效灵约100ml,当即被送到我院门诊洗胃后住院。入院时诉头昏、上腹闷痛,伴恶心呕吐,吐出物为咖啡色液体。体检:T36.8℃,BP117/68mmHg。神志清,脸色稍苍白,口唇无紫坩。心肺(-)。上腹部轻度压痛,肝、脾未触及。实验室检查:Hb76g/L,WBC3.7×10~(?)/L,中性8O％,淋巴20％。尿蛋白(+)、红血细胞(+)。粪隐血(-)。给输液、止血药和BAL等治疗。入院48小时后,患者发热、头晕、头痛、腰痛剧烈,发生晕厥2次。伴尿频、尿痛感,尿呈酱油样。体检:T38.8℃,BP80/50mmHg。脸色苍黄,巩膜黄染。Hb<30g/L,WBC2.2×10.9/L,晚幼粒1％,杆状5％,中性分叶70％,淋巴24％,并见有核红细胞,血小板13×10~(?)/L,网积红细胞5％。尿隐血
Female patient, 27 years old. Because of mistakenly pesticide double effect about 100ml, was immediately sent to our hospital for gastric lavage. On admission, dizziness, abdominal pain, nausea and vomiting, spit out as a brown liquid. Physical examination: T36.8 ℃, BP117 / 68mmHg. Conscious, his face pale, lips without purple crucible. Cardiopulmonary (-). Mild abdominal tenderness, liver, spleen not touched. Laboratory tests: Hb76g / L, WBC3.7 × 10 ~ (?) / L, neutral 8O%, lymphatic 20%. Urine protein (+), red blood cells (+). Excrement occult blood (-). To infusion, hemostatic agents and BAL treatment. 48 hours after admission, patients with fever, dizziness, headache, severe back pain, syncope occurred 2 times. With frequent urination, dysuria, urine was soy sauce-like. Physical examination: T38.8 ℃, BP80 / 50mmHg. Pale face, scleral yellow dye. Hb <30g / L, WBC 2.2 × 10.9 / L, late promyelocytic 1%, rod 5%, neutral leaves 70%, lymph 24%, and see the nucleated red blood cells, platelet 13 × 10 ~ / L, net product of red blood cells 5%. Urinary occult blood