论文部分内容阅读
患者,男性,29岁。住院号:29992。八天前食用变质银耳后10小时出现头晕、多汗、腹痛、呕吐、腹泻及抽搐伴晕厥住某院。三天前显黄疸,肝功损害及嗜睡,诊为肝性脑病。一天前尿减少伴全身浮肿。用速尿无效,以急性肾功能衰竭转我院。体检:神志恍惚,皮肤、粘膜及巩膜黄染,全身浮肿,肝区叩击痛,肝未触及。两肾区叩击痛。余未见异常。化验:Hb13.2克％,WBC13800,N92,L8,BUN78.2mg/dl,CO~2CP27.8Vol/dl,K~+6mEq/L,Na~+135mEq/L,Cl135.2mEq/L。尿:蛋白(+),白细胞(++),红细胞(++++),肝功:SGPT239u,黄疸指数50u,凡登白试验直接迅速反应,间接强阳性。
Patient, male, 29 years old. Hospital number: 29992. Eight days ago eating metamorphosis Tremella 10 hours after dizziness, hyperhidrosis, abdominal pain, vomiting, diarrhea and convulsions with a hospitalized syncope. Jaundice three days ago, liver damage and drowsiness, diagnosed as hepatic encephalopathy. Urine decreased a day before with systemic edema. With furosemide invalid, acute renal failure to our hospital. Physical examination: mind trance, skin, mucous membranes and sclera yellow dye, body edema, liver percussion pain, liver not touched. Two perimenal zone percussion pain. I no abnormalities. Assay: Hb13.2g%, WBC13800, N92, L8, BUN78.2mg / dl, CO ~ 2CP27.8Vol / dl, K ~ +6 mEq / L, Na ~ +135 mEq / L, Cl135.2mEq / L. Urine: protein (+), white blood cells (++), red blood cells (++++), liver function: SGPT239u, jaundice index 50u, Vandenbai test directly and prompt response, indirect strong positive.