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患者女性,36岁.患慢性肾炎2年余,尿蛋白持续(?)—(?).在家自服中药雷公藤(去皮取其木质部,每天约40g加水煎服,早晚各1次).服药2天,患者出现心悸、胸闷、气急、头晕、恶心、乏力,遂急诊来院.体检:T36.7℃,P92次/min,R24 次/min,BP150/92mmHg(20/12.3kPa),神志清,精神萎,面色苍白,痛苦貌,颜面眼睑浮肿.两肺无殊,心率92次/min,律不齐,心界不大,第1心音稍低钝,未闻及病理性杂音,腹平软,肝脾未及.神经系统检查无异常.实验室检查:尿蛋白(?),红细胞+,血清K~+3.8mmol/L,Na~+142mmol/L,Cl-102mmol/L,
Patient female, 36 years old .Chronic nephritis more than 2 years, urinary protein continued (?) - (?) At home, self-service Chinese medicine Tripterygium (peel the xylem, about 40g daily Shuijianbi, morning and evening 1). Two days after taking the medicine, the patient experienced heart palpitations, chest tightness, shortness of breath, dizziness, nausea and weakness, and then went to the hospital for emergency medical examination.Physical examination: T36.7 ℃, P92 / min, R24 /min ,BP150/92mmHg(20/12.3kPa) Clear, spiritual wilt, pale, painful appearance, facial eyelid edema .Long lungs are not uncommon, heart rate 92 beats / min, irregular, heart is not big, the first heart sound is slightly lower blunt, no smell and pathological murmurs, abdomen Nephrological examination was normal. Laboratory tests: Urinary protein (?), Erythrocyte +, serum K + 3.8mmol / L, Na ~ + 142mmol / L, Cl- 102mmol / L,