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本病例临床病理讨论部分将于下期(第10期)刊出。病例介绍患者85岁,男性,因急性肾功能衰竭而收入院。因长期患慢性阻塞性肺病和高血压而接受氯噻嗪治疗。入院前一年其血尿素氮为25mg/dl。入院前数月自感慢性虚弱。入院前一个月血尿素氮30mg/dl,肌酐1.3mg/dl,血钾3.5mmol/L。即联用双氢克尿噻和氨苯喋啶以取代氯噻嗪,但患者误把这三种药同时服用。2周前以虚弱、食欲不振和早醒的主诉收入急诊室。体检见病人焦虑不安及脱水。血尿素氮54mg/dl,肌酐2.5mg/dl,钾4.1mmol/L,氯97mmol/
The clinical pathology of this case will be discussed in the next issue (Issue 10). Case description Patients aged 85, male, hospitalized for acute renal failure. Due to chronic obstructive pulmonary disease and high blood pressure to accept chlorothiazide treatment. The blood urea nitrogen was 25mg / dl a year before admission. Few months before admission, chronic weakness. One month before admission, blood urea nitrogen 30mg / dl, creatinine 1.3mg / dl, potassium 3.5mmol / L. That the combination of hydrochlorothiazide and triamterene to replace chlorothiazide, but patients mistakenly put these three drugs at the same time. Two weeks ago, the emergency department was admitted with complaints of weakness, loss of appetite and early waking up. See patient anxiety and dehydration. Blood urea nitrogen 54mg / dl, creatinine 2.5mg / dl, potassium 4.1mmol / L, chlorine 97mmol /