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患者,男,52岁。因右肾损伤,剖腹探查术后误输异型血致急性肾功能衰竭11天转入我院。神志恍惚。实验室检查:血常规:Hb43.5g/L,RBC1.7×10~(12)/L、WBC38.8×10~9/L、N89%、L11%,尿比重1.010,血BUN34.3mmol/L,Cr707.2μmol/L,血糖152mg%,尿糖(-),CO_2cp30.5mmol/L。腹穿抽出淡红色液体。无糖尿病史。经按肾衰积极抢救,病人进入多尿期:神志清醒。尿量2000～2500ml/d。第18天,口渴严重,烦躁,尿量3500～4000ml/d,但未引起注意,仍每天输给50%葡萄糖
Patient, male, 52 years old. Due to injury of the right kidney, laparotomy detection of misdiagnosis of patients with acute renal failure caused by acute renal failure 11 days into our hospital. Trance. Laboratory tests: blood: Hb43.5g / L, RBC1.7 × 10-12 / L, WBC38.8 × 10 ~ 9/L, N89%, L11%, urine specific gravity 1.010, blood BUN34.3mmol / L, Cr707.2μmol / L, blood sugar 152mg%, urine glucose (-), CO_2cp30.5mmol / L. Abdominal wear out of light red liquid. No history of diabetes. After active rescue by renal failure, the patient entered the polyuria period: conscious. Urine volume 2000 ~ 2500ml / d. The first 18 days, severe thirst, irritability, urine output 3500 ~ 4000ml / d, but did not pay attention, still lost 50% of glucose daily