论文部分内容阅读
1病例报告患者男,84岁。确诊为糖尿病肾病6年,近来出现食欲缺乏,偶有恶心、呕吐。查体:体温36.7℃,脉搏68/min,呼吸20次/min,血压136/88mmHg;精神差,中度贫血貌,腹膨软,肝脾肋下未及,双下肢凹陷性水肿;血肌酐500μmol/L,肾小球滤过率11ml/min。诊断为糖尿病肾衰竭。在干休所卫生所行腹膜透析治疗,2个月后食欲好转,乏力症状明显改善,血压130/80mmHg,血肌酐210μmol/L,尿素氮9.1mmol/L。病情稳定后,在医护人员指导下回家继续进行腹膜透析治疗,情况良好。
A case report patient male, 84 years old. Diagnosis of diabetic nephropathy for 6 years, recent loss of appetite, occasional nausea, vomiting. Physical examination: body temperature 36.7 ℃, pulse 68 / min, breathing 20 times / min, blood pressure 136/88 mmHg; poor spirit, moderate anemia appearance, abdominal swelling soft, 500μmol / L, glomerular filtration rate 11ml / min. Diagnosed with diabetic renal failure. Peritoneal dialysis was performed in the health clinic of the dry place. After 2 months, the appetite improved and the symptoms of fatigue improved obviously. Blood pressure was 130/80 mmHg, serum creatinine 210 μmol / L and urea nitrogen 9.1 mmol / L. After the condition was stable, he went home to continue peritoneal dialysis treatment under the guidance of medical staff and was in good condition.