论文部分内容阅读
患者男,62岁,因误服外用水杨酸20g 于1980年10月5日入院。查体:神志不清,烦燥,呼吸深大,26次/分,心(-),两肺呼吸音低。腹软,肝脾未及,NS(-)。翌日血NPN68mg%,Cr7.3mg%,血、尿水杨酸为74mg%与48mg%,尿FeCl_3试验(+),尿蛋白微量,比重1.020。经补液、纠酸、糖皮质激素等治疗无好转。翌晚10时血水杨酸达84mg%,CO_2-Cp31Vol%。用炭肾“直接血液灌流”2小时,血水杨酸降为45mg%。7日血气分析为呼吸性碱中毒并代谢性酸中毒.患者
Male patient, aged 62, was admitted to hospital on October 5, 1980, due to oral administration of salicylic acid 20g. Physical examination: unconsciousness, irritability, deep breathing, 26 beats / min, heart (-), lungs breath sounds low. Abdomen soft, liver and spleen not yet, NS (-). The following day blood NPN68mg%, Cr7.3mg%, blood, salicylic acid 74mg% and 48mg%, urine FeCl3 test (+), urine protein trace, the proportion of 1.020. After rehydration, acid correction, glucocorticoid treatment such as no improvement. Blood salicylic acid reached 84 mg% at 10 pm the following night, CO 2 -Pp31Vol%. With charcoal “direct hemoperfusion” 2 hours, blood salicylic acid reduced to 45mg%. On the 7th blood gas analysis for respiratory alkalosis and metabolic acidosis