慢性肾脏病基础上急性肾损伤并发脑出血一例

<正>病例资料患者:男,60岁,20 d前感中上腹及脐周阵发性绞痛,向后腰背放射,伴恶心、呕吐,于当地诊所对症治疗后症状减轻(具体治疗不详)。1 d前上述症状加重,并出现尿量减少,遂就诊我院急诊科。既往高血压病史8年,未规律服用氨氯地平片降压。血淀粉酶:1461 U/L;脂肪酶:3390 U/L;血肌酐(SCr)1746μmol/L;腹部B超:双肾体积小,肾皮质回声增强、不均,双肾囊肿。查体:上腹部压痛、反跳痛,腹肌紧张,肠鸣音消失。急转入肾内科行连续静脉静脉血液滤过。采用低分子肝素抗凝,首剂2000 U,追加200 U/h,并予补...

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Main Authors: 刘雪姣, 杨小娟
Format: Article
Language:zho
Published: Editorial Department of Journal of Clinical Nephrology 2017-01-01
Series:Linchuang shenzangbing zazhi
Online Access:http://www.lcszb.com/thesisDetails?columnId=57918127&Fpath=home&index=0
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author 刘雪姣
杨小娟
author_facet 刘雪姣
杨小娟
author_sort 刘雪姣
collection DOAJ
description <正>病例资料患者:男,60岁,20 d前感中上腹及脐周阵发性绞痛,向后腰背放射,伴恶心、呕吐,于当地诊所对症治疗后症状减轻(具体治疗不详)。1 d前上述症状加重,并出现尿量减少,遂就诊我院急诊科。既往高血压病史8年,未规律服用氨氯地平片降压。血淀粉酶:1461 U/L;脂肪酶:3390 U/L;血肌酐(SCr)1746μmol/L;腹部B超:双肾体积小,肾皮质回声增强、不均,双肾囊肿。查体:上腹部压痛、反跳痛,腹肌紧张,肠鸣音消失。急转入肾内科行连续静脉静脉血液滤过。采用低分子肝素抗凝,首剂2000 U,追加200 U/h,并予补
format Article
id doaj-art-ce60b7416459460794d818d2cdb1b27d
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issn 1671-2390
language zho
publishDate 2017-01-01
publisher Editorial Department of Journal of Clinical Nephrology
record_format Article
series Linchuang shenzangbing zazhi
spelling doaj-art-ce60b7416459460794d818d2cdb1b27d2025-08-20T03:09:15ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902017-01-0112857918127慢性肾脏病基础上急性肾损伤并发脑出血一例刘雪姣杨小娟<正>病例资料患者:男,60岁,20 d前感中上腹及脐周阵发性绞痛,向后腰背放射,伴恶心、呕吐,于当地诊所对症治疗后症状减轻(具体治疗不详)。1 d前上述症状加重,并出现尿量减少,遂就诊我院急诊科。既往高血压病史8年,未规律服用氨氯地平片降压。血淀粉酶:1461 U/L;脂肪酶:3390 U/L;血肌酐(SCr)1746μmol/L;腹部B超:双肾体积小,肾皮质回声增强、不均,双肾囊肿。查体:上腹部压痛、反跳痛,腹肌紧张,肠鸣音消失。急转入肾内科行连续静脉静脉血液滤过。采用低分子肝素抗凝,首剂2000 U,追加200 U/h,并予补http://www.lcszb.com/thesisDetails?columnId=57918127&Fpath=home&index=0
spellingShingle 刘雪姣
杨小娟
慢性肾脏病基础上急性肾损伤并发脑出血一例
Linchuang shenzangbing zazhi
title 慢性肾脏病基础上急性肾损伤并发脑出血一例
title_full 慢性肾脏病基础上急性肾损伤并发脑出血一例
title_fullStr 慢性肾脏病基础上急性肾损伤并发脑出血一例
title_full_unstemmed 慢性肾脏病基础上急性肾损伤并发脑出血一例
title_short 慢性肾脏病基础上急性肾损伤并发脑出血一例
title_sort 慢性肾脏病基础上急性肾损伤并发脑出血一例
url http://www.lcszb.com/thesisDetails?columnId=57918127&Fpath=home&index=0
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