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38岁男性,在一次癫痫全身发作后入院。患者有癫痫大发作史。入院第4天起无尿;血浆肌酐增至774μmol/L和血浆磷酸肌酸激酶增至10000μ/L(正常范围30～200)。该病例的解释为横绞肌溶解所致的肾功能衰竭,采用血液透析治疗。癫痫全身发作后导致肾功能损害的发病率尚不明暸。为此,作者研究了一组13例因惊厥入院患者的肾功能。收集3次24h尿量,作肌酐清除率评价。4例患者在1～2天后停止研究;他们的血浆
A 38-year-old man was admitted to hospital after a seizure. Patients have a history of epileptic seizures. No urine was found on the fourth day after admission; plasma creatinine increased to 774 μmol / L and plasma creatine phosphokinase increased to 10000 μ / L (normal range: 30-200). The explanation for this case is renal failure due to transversal skeletal muscle lysis, treated with hemodialysis. The incidence of epilepsy after renal failure caused by renal function is not yet clear. To do this, the authors studied the renal function of a group of 13 patients hospitalized for convulsions. Collect 3 times 24h urine output, creatinine clearance rate evaluation. Four patients discontinued the study within 1-2 days; their plasma