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患者,男,62岁。1984年9月8日X线胸片示慢性纤维空洞型肺结核。9月10日起自服利福平(RFP)450~600mg/次,3/日六天共口服 RFP 150mg×69粒,同时还口服了异菸肼0.1g×18片。9月13日,患者记忆、辨认、对答紊乱;尿量减少,尿色深黄。9月17日自诉头昏,乏力,无食欲,腹胀,尿少,卧床五天入院。体检:T36.5℃,BP110/70mmHg。消瘦,嗜睡。巩膜深度黄染。心肺(-)。右肋弓下可触及肝脏边缘,浊音界上下径4.5
Patient, male, 62 years old. September 8, 1984 X-ray showed chronic fibrous hollow tuberculosis. Since September 10, rifampicin (RFP) 450 ~ 600mg / times, 3 days a total oral RFP 150mg × 69 tablets, but also oral administration of isoniazid 0.1g × 18 tablets. September 13, the patient memory, identification, confusion; urine output decreased dark yellow urine. September 17 private prosecution dizziness, fatigue, no appetite, bloating, oliguria, bedridden five days. Physical examination: T36.5 ℃, BP110 / 70mmHg. Weight loss, lethargy. Scleral depth yellow dye. Cardiopulmonary (-). Under the right costal arch can reach the edge of the liver, voiced sound sector diameter 4.5