论文部分内容阅读
患者女,20岁。因先后自服安定300片(750毫克),无尿7天于1986年8月5日入院。患者于入院前7天与家人生气后自服安定500毫克,随后感头昏、乏力、步态不稳且无尿。昏睡3天后又加服安定250毫克,以后头昏加重,神志恍惚、嗜睡,呕吐胃内物一次,每日尿量在10毫升左右。在家未作任何治疗,于无尿第7天送入我院。查:T、P、R、Bp均正常。神志清楚,步态不稳。心肺未发现异常,肝脾不大,神经系检查未发现阳性征。三大常规正常,尿二胆阴性,血钠126毫当量/升,血钾3.1毫当量/升,血钙、血氯正常。心电图
Female patient, 20 years old. Because of its own service and stability 300 (750 mg), anurinal 7 days in August 5, 1986 admission. 7 days before admission to patients with their families angry self-service stability 500 mg, followed by dizziness, fatigue, instability and no gait. Drowsiness 3 days after adding diazepam 250 mg, after dizziness aggravate, trance, drowsiness, vomiting stomach contents once daily urine output in 10 ml or so. At home without any treatment, in the first 7 days into the hospital without urine. Check: T, P, R, Bp are normal. Consciousness, unstable gait. Cardiopulmonary no abnormalities found, hepatosplenism, neurological examination found no positive signs. Three normal routine, urine bile-negative, 126 milliliters of serum sodium / liter, 3.1 milliequivalents of serum potassium / liter, blood calcium, blood chloride normal. Electrocardiogram