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例1:男,60岁。5天前生吞草鱼胆8个(每条鱼1～1.5kg)。2小时后腹部不适、呕吐,继之头晕、视物旋转,不能站立、腹泻、腰痛、水肿、尿少。体查:血压17.3/10.7kPa。精神差,眼睑水肿。上腹及脐周轻压痛,肝肋下3cm,脾未扪及,双肾区叩痛,余无异常。血红蛋白132g/L,白细胞9×10~9/L,中性71％。尿蛋白(-),白细胞0～2/HP。大便潜血试验(+)。BUN15.7mmol/L。SGPT200u,黄疸指数7u。B超示肝实质光点粗而密集。诊断:急性鱼胆中毒,急性肾功能衰竭,中毒性肝炎,中毒性脑病。入院后予以利尿、止血剂、糖皮
Example 1: Male, 60 years old. 5 days ago, raw grass carp gallbladder 8 (each fish 1 ~ 1.5kg). 2 hours after the abdominal discomfort, vomiting, followed by dizziness, depending on the material rotation, can not stand, diarrhea, back pain, edema, oliguria. Physical examination: blood pressure 17.3 / 10.7kPa. Poor spirit, eyelid edema. Lower abdomen and umbilical tenderness, liver ribs 3cm, spleen not palpable, kidney area percussion pain, I no abnormalities. Hemoglobin 132g / L, white blood cells 9 × 10 ~ 9 / L, neutral 71%. Urinary protein (-), white blood cells 0 ~ 2 / HP. Fecal occult blood test (+). BUN 15.7 mmol / L. SGPT200u, jaundice index 7u. B ultrasound shows liver parenchyma spot thick and dense. Diagnosis: acute fish gall bladder poisoning, acute renal failure, toxic hepatitis, toxic encephalopathy. After admission to diuretic, hemostatic agents, sugar