病例介绍患者,男,47岁,由于精神状态改变合并急性肾衰于6月初的一天早上10点送入我院急诊科。该患者在前一天晚上8点与家人共进晚餐时出现行为异常,餐后又开车外出。根据其妻子的描述,当晚回到家时,患者说话含糊不清并出现嗜睡。到晚9点出现呕吐并且昏睡。凌晨3点其妻子叫他无? Case description The patient, male, 47 years old, was admitted to our emergency department at 10 am on the morning of June due to a change in mental status associated with acute renal failure. The patient had an abnormal behavior when he had dinner with his family at 8 o’clock the night before, and drove out after dinner. According to his wife’s description, when she returned home that night, the patient was vague and somnolence. At nine o’clock in the evening there was vomiting and lethargy. 3:00 his wife called him no?