论文部分内容阅读
门体分流术后脑病并不少见,但脑病合并严重的低钾性碱中毒症昏迷却不多见,本病病情凶险复杂,变化迅速。我们曾经治一例,由于治疗过程中抓住了主要矛盾,终于抢救成功。特报告如下,以供参考。何×,男性,25岁,搬运工,住院号54401。因坏死后肝硬化、门静脉高压症于76年5月25日入院,行择期手术。体检:体态高大、消瘦、慢性病容,血压110/60,脉搏88/分,无黄疸,双侧鼻孔有血痂,心肺阴性。腹水(サ),腹围92厘米。肝上界锁骨中缘第五肋间,肋下未扪及。脾肋下四横指,质硬无压痛,下肢轻度凹陷性水肿。血红蛋白60%,红细胞365万,白细胞
Encephalopathy after portosystemic shunt is not uncommon, but encephalopathy with severe hypokalemic alkalosis coma is rare, the disease is dangerous and complex, changing rapidly. We used to rule a case, because the treatment process to seize the main contradiction, and finally rescue success. Special report is as follows for reference. Ho ×, male, 25 years old, porter, hospital number 54401. Due to necrosis of liver cirrhosis, portal hypertension in hospital on May 25, 76, elective surgery. Physical examination: tall, thin, chronic disease, blood pressure 110/60, pulse 88 / min, no jaundice, both sides of the nose with blood scab, cardiopulmonary negative. Ascites (サ), abdominal circumference 92 cm. The upper border of the clavicle in the fifth intercostal space, the ribs did not palpable. Spleen rib four horizontal fingers, hard no tenderness, lower limb mild depression edema. 60% of hemoglobin, erythrocytes, 3.65 million, white blood cells