论文部分内容阅读
作者报告1例39岁的男性患者,因入院前两周来连续大量饮用(每日1/2～1夸脱)私商非法酿造的威士忌洒(污染砷化物),10天后引起急性砷中毒。发生恶心、呕吐、腹泻、口渴、背病与腹痛。入院后发现两侧结膜下出血,肋脊角压痛及腹部弥漫性压痛。无尿,尿蛋白(+++),尿沉渣镜检红细胞100～150/高倍视野,白细胞20个/高倍视野。出现氮质血症[血尿素氮61mg/dl,肌酐18mg/dl,尿酸13.1mg/dl(正常2.5～8.0mg/dl)]。血清乳酸脱氢酶2,568mU/ml(正常90～200mU/ml)。
The authors report a 39-year-old male patient who had been sprinkled (contaminated with arsenic) with a large quantity of whiskey (polluting arsenic) that had been illegally brewed (1/2 to 1 quart) daily for two weeks before admission and had caused acute arsenic poisoning after 10 days. Nausea, vomiting, diarrhea, thirst, backache and abdominal pain occur. After admission found on both sides of the subconjunctival hemorrhage, rib ridge angle tenderness and abdominal tenderness. Anuria, urinary protein (+++), urine sediment microscopy of red blood cells 100 ~ 150 / high power field, white blood cells 20 / high power field. There azotemia [blood urea nitrogen 61mg / dl, creatinine 18mg / dl, uric acid 13.1mg / dl (normal 2.5 ~ 8.0mg / dl)]. Serum lactate dehydrogenase 2,568 mU / ml (normal 90 ~ 200mU / ml).