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患者80岁,因头痛软弱及尿少而入院。曾因关节痛服布洛芬600mg/d,分3次服,连服12日。服药3天后关节痛消失,继而无尿。经服速尿24小时后尿量200～250ml,血压由110/60升至175/100mmHg,心功过速。血常规无异常,尿蛋白0。96‰,偶见白细胞和红细胞。肾小球滤过率(GFR)30ml/min,血肌酐(Scr)0.41mmol/min,诊断为急性药物性肾功能不
The patient was 80 years old and admitted to hospital because of weak headaches and oliguria. Had joint pain for ibuprofen 600mg / d, 3 times service, and even served on the 12th. Joint pain disappeared 3 days after medication, followed by no urine. 24 hours after sufeuric urine output of 200 ~ 250ml, blood pressure rose from 110/60 to 175 / 100mmHg, tachycardia. No abnormal blood tests, urinary protein 0.96 ‰, occasionally white blood cells and red blood cells. Glomerular filtration rate (GFR) 30ml / min, serum creatinine (Scr) 0.41mmol / min, the diagnosis of acute drug-induced renal failure