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例1,男,64岁.因突然失语右上下肢活动不灵5d,于1988年12月29日入院.查体:嗜睡,血压20/12kPa,右鼻唇沟浅,舌偏右,右上下肢肌力Ⅲ～Ⅳ级,右侧病理征阳性.CT 示左壳核出血20ml.以往无肾病史。入院后用20%甘露醇250ml 静滴,2次/d,10%葡萄糖1000ml 加维生素C,氯化钾等静滴,可进少量流食.元月6日在输液中突然寒颤高烧(输液反应),第2d 仍烧,因有肺部感染,肌注氨苄青霉素,暂停输液,进食较少.9日查尿常规正常,尿
Example 1, male, 64 years old due to sudden aphasia upper right and lower extremity activities 5d, admitted on December 29, 1988. Physical examination: lethargy, blood pressure 20 / 12kPa, right nasolabial fold shallow, tongue right, right lower extremity muscle Force Ⅲ ~ Ⅳ level, the right pathology positive sign .CT showed left putamen haemorrhage 20ml. In the past no history of kidney disease. After admission with 20% mannitol 250ml intravenous drip, 2 times / d, 10% glucose 1000ml plus vitamin C, potassium chloride and other intravenous infusion can be a small amount of fluid. January 6 in the infusion suddenly chills fever (infusion reaction) , 2d still burn, because of lung infection, intramuscular ampicillin, suspension of infusion, eating less .9 check urinary routine normal urine