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患者,男,30岁。因腹泻(稀水样便)6次,呕吐(胃内容物)8次,诊断为急性胃肠炎,中度脱水症。于1995年9月19日入院,给予静脉补液3000～3500ml/d,环丙沙星针剂0.2g,静滴,bid。21日大便正常,尿量约500ml/ d。23日呕吐加重,眼睑浮肿,血钾3.2mmo1/L,CO_2结合力8.0mmol/L,BUN23.6mmol/L,肌酐893μmol/L,考虑血容量不足,代谢性酸中毒,继续静脉补液,补充碱性液体。25日停用环丙沙星。28日尿量 200ml/d,CO_2结合力5.0mmol/L,BUN30.5mmol/L,肌酐1144μmol/L,诊
Patient, male, 30 years old. Due to diarrhea (watery stool) 6 times, vomiting (stomach contents) 8 times, diagnosed as acute gastroenteritis, moderate dehydration. On September 19, 1995 was admitted to give intravenous rehydration 3000 ~ 3500ml / d, ciprofloxacin injection 0.2g, intravenous infusion, bid. Normal stool on the 21st, urine output of about 500ml / d. 23 day vomiting, eyelid edema, potassium 3.2mmo1 / L, CO_2 binding 8.0mmol / L, BUN23.6mmol / L, creatinine 893μmol / L, consider hypovolemia, metabolic acidosis, continue intravenous rehydration, Sexual fluid. Ciprofloxacin discontinued on the 25th. On the 28th urine volume was 200ml / d, CO2 binding power was 5.0mmol / L, BUN30.5mmol / L, creatinine 1144μmol / L, the diagnosis