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患者男,50岁,因恶心,上腹不适伴少尿9天入院。发病前患者因饮食不洁出现腹泻水样便4～5次/日,本院肠道门诊诊断为急性肠炎,给予环丙沙星0.5g 2次/日口服.患者自行增至1g 3次/日,其后自觉头晕,口干,口苦,上腹不适,恶心呕吐胃内容物,每天尿量50～350ml,伴便秘,入院前1天查血Cr 1796μmol/L,BUN 226 mmol/L,诊为急性肾功能衰竭收住入院。体检:T37.5℃,P84次/分,R20次/分,BP21.5/12.5kPa,精神软,颜面及下肢轻度浮肿.全身皮肤无阏点瘀斑,颈软,心、肺听诊正常,腹平软,肝脾肋下未及,双侧肾区叩痛(+),神经系统正常。实验室检查血Hb 109g/L,WBC 7.8×10~9/L,N 0.82,L 0.18;大便常规正
Male patient, 50 years old, due to nausea, abdominal discomfort with oliguria 9 days admitted. Before onset of patients with diarrhea due to unclean food, watery urine will be 4 to 5 times / day, our hospital intestinal outpatient diagnosis of acute enteritis, given ciprofloxacin 0.5g 2 times / day orally. Patients themselves to 1g 3 times / Day, then consciously dizzy, dry mouth, mouth bitter, abdominal discomfort, nausea and vomiting stomach contents, daily urine output 50 ~ 350ml, with constipation, check blood Cr 1796μmol / L, BUN 226mmol / L, Diagnosis of acute renal failure admitted to hospital. Physical examination: T37.5 ℃, P84 times / min, R20 beats / min, BP21.5 / 12.5kPa, mild softness, facial and mild swelling of lower extremities. , Abdominal soft, liver and spleen ribs, and bilateral renal area percussion pain (+), normal nervous system. Laboratory blood Hb 109g / L, WBC 7.8 × 10 ~ 9 / L, N 0.82, L 0.18; stool routine is positive