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患者女,37岁,因食不洁食物后腹泻水样便3天,乏力、反复抽搐2月而于1992年7月18日拟诊为抽搐待查、电解质紊乱、肾小管酸中毒待排入院.体检:BP14/10kPa.全身无水肿,心肺听诊正常.腹软,肝脾未及,浅表淋巴结未及,神经系统检查正常.血常规、大便常规正常,ESR27mm/h,血K~+2.65mmol/L、Na~+139mmol/L、Cl~-89.65mmol/L、Ca~(2+)2.08mmol/L、血磷(无机)1.23mmol/L、Mg~(2+)0.51mmol/L、血气分析pH7.5、HCO5_3~-30.6mmol/L、SB30.2mmol/L、BE68mmol/L、血尿酸280μmol/L、血BUN、SCr、CCr、血葡萄糖、血总蛋白、白蛋白、球蛋白、ALT、AST、γ-GT、血
Female, 37 years old, after diarrhea due to food unclean food watery stools for 3 days, fatigue, repeated convulsions February and July 18, 1992 to be diagnosed as convulsions to be investigated, electrolyte imbalance, renal tubular acidosis pending admission to hospital Physical examination: BP14 / 10kPa. No edema in the body, normal cardiopulmonary auscultation. Abdominal softness, liver and spleen not appearing, superficial lymph nodes not yet, normal nervous system examination. Blood routine, stool routine normal, ESR27mm / h, blood K +2.65 mmol / L, Na ~ + 139mmol / L, Cl ~ -89.65mmol / L, Ca 2+ 2.08mmol / L, Phosphorus (inorganic) 1.23mmol / L, Mg 2+ 0.51mmol / L , Blood gas analysis pH7.5, HCO5_3 ~ -30.6mmol / L, SB30.2mmol / L, BE68mmol / L, serum uric acid 280μmol / L, blood BUN, SCr, CCr, blood glucose, blood total protein, albumin, globulin , ALT, AST, γ-GT, blood