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患者,男,48岁。以头痛伴右侧肢体无力10小时入院。既往高血压病史3年。无药物过敏及肾肝疾病史。根据临床症征及CT诊断为脑出血。治疗给6-氨基已酸止血、青霉素预防感染、脱水用10％甘油500ml,每12小时静脉滴注一次。第二天用10％甘油后突然出现胸闷、腹痛、腰痛、排出酱油色尿120ml,腹泻大便呈咖啡色稀便,继之少尿,每日尿量不足200ml。实验室检查:血红蛋白100g/g,白细胞12.0×10~9/L,红细胞2.5×10~(12)/L,尿pH9.0,尿蛋白3g/L,尿胆原280.7μmol/L,尿素氮50.3mmol/L,血清胆红素85.1μmol/L,间接胆红素75.3μmol/
Patient, male, 48 years old. Headache with right limb weakness 10 hours admission. History of previous hypertension for 3 years. No drug allergy and history of kidney disease. According to clinical symptoms and CT diagnosis of cerebral hemorrhage. Treatment to 6 - aminocaproic acid to stop bleeding, penicillin to prevent infection, dehydration with 500ml of 10% glycerol, intravenously once every 12 hours. The next day with 10% glycerol suddenly appeared chest tightness, abdominal pain, back pain, discharge soy sauce color urine 120ml, diarrhea stool was brown loose stools, followed by oliguria, daily urine output of less than 200ml. Laboratory tests: hemoglobin 100g / g, leukocytes 12.0 × 10 ~ 9 / L, erythrocytes 2.5 × 10-12 / L, urine pH9.0, urinary protein 3g / L, urobilinogen 280.7μmol / L, urea nitrogen 50.3mmol / L, serum bilirubin 85.1μmol / L, indirect bilirubin 75.3μmol /