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患者男性,56岁,住院号161890,于1980年5月20日因进行性少尿、尿闭5天入院。入院前8天因发热、感冒而注射“安乃近”一支,无明显反应。因体温不降再肌肉注射庆大霉素,8万单位,一天二次,共32万单位.第三天热退,但伴恶心、呕吐、嗜睡及尿量减少、尿色暗红等征象,遂来本院急诊。尿检蛋白++～+++,红细胞>100/高倍视野。尿素氮43～68毫克%.尿路平片(一)。在对症处理与观察期中,患者的尿量逐日减少,从每日400毫升降为200毫升,甚至无尿。急症作静脉肾盂造影示双肾无功能.故收入病房.入院体检:血压160/80毫米汞柱。呼吸28次/分、神萎、嗜睡、面部浮肿、膀胱区不胀、肾区不膨隆。尿素氮迅速增至88毫克%,肌酐为3.3～4毫克%。
Male patient, 56 years old, hospital number 161,890, on May 20, 1980 due to progressive oliguria, urinary tract admission for 5 days. 8 days before admission because of fever, flu and injection “a close” one, no significant reaction. Because of body temperature and then intramuscular injection of gentamicin, 80,000 units, twice a day, a total of 320,000 units. The third day of hot, but with nausea, vomiting, lethargy and decreased urine output, dark urine and other signs, Then to our hospital emergency room. Urinalysis protein ++ ~ +++, red blood cells> 100 / high power field. Urea nitrogen 43 ~ 68 mg%. Urinary tract plain film (a). During the symptomatic treatment and observation period, the patient’s urine output decreased day by day, from 400 milliliters per day to 200 milliliters or even anuria. Emergency for intravenous pyelography showed no function of the kidney, so income ward admission medical examination: blood pressure 160/80 mm Hg. Breathing 28 beats / min, Shen Wei, lethargy, facial edema, swelling of the bladder area, kidney area is not bulging. Urea nitrogen rapidly increased to 88 mg%, creatinine 3.3 ~ 4 mg%.