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患者女性,60岁,因胸闷、气短、腹胀、呕吐、少尿12小时入院。入院前2周因头痛就诊于某医院,诊断为青光眼,拟行手术治疗,术前查血尿素氮、血肌酐均正常,经予20％甘露醇250ml降眼压,一日一次静点,连用12天,因眼压尚未降至手术要求标准,即给予50％甘油100ml口服,一日一次,服后出现呕吐、腹泻,2天后出现胸闷、腹胀、少尿(24小时尿量为200ml),考虑为急性肾功能衰竭,而转来我院。 查体:T37℃,BP16/11 kPa,神清、颜面无浮肿,左肺下野可闻及少
Female patient, 60 years old, due to chest tightness, shortness of breath, bloating, vomiting, oliguria 12 hours admitted. Two weeks before admission, he was diagnosed with glaucoma because of a headache and was diagnosed with glaucoma. Before surgery, blood urea nitrogen and serum creatinine were all normal. After 20% mannitol was given to reduce intraocular pressure, once a day, 12 days, due to intraocular pressure has not yet dropped to the surgical requirements of the standard, that is given 100% glycerol 100ml orally, once a day, after serving vomiting, diarrhea, chest tightness after 2 days, bloating, oliguria (24 hours urine output 200ml) Considered acute renal failure, and transferred to our hospital. Physical examination: T37 ℃, BP16 / 11 kPa, God clear, no swelling of the face, the left lung can be heard less and the field less