论文部分内容阅读
【病例】男,43岁。主因车祸后无尿6天,于2000年4月25日入院。患者于6天前发生车祸,当时出血多,双下肢不能活动,血压52/22mmHg,尿呈酱油色,当地医院给予输血等对症治疗并石膏固定骨折处。次日出现无尿,查血肌酐（Cr）890μmol/L,尿素氮（BUN）40mmol/L,急转我院。查体:体温36.5℃.脉搏79/min,血压125/90mmHg。意识清,心肺及腹部无阳性体征,双髋部肿胀,双耻骨、左骶髂关节部压痛、叩击痛阳性,骨盆分离挤压试验阳性,左下肢短缩,髂脐距左16cm,右13cm。右足缝合伤口有部分渗出物,左下肢已行腔骨结节牵引。实验室检查:血白细胞14.6×109/L,红细胞2.48×1012/L,血红蛋白86g/L。尿蛋白（3+）,白细胞5～7/HP,红细胞4～
[Case] Male, 43 years old. The main reason for urinary incontinence after 6 days, on April 25, 2000 admission. The patient had a car accident six days earlier. At that time, hemorrhage was more than normal. His lower limbs could not move. Blood pressure was 52/22 mmHg. Urine showed a soy sauce color. Local hospitals were given symptomatic treatment such as blood transfusion and plaster fixation fractures. The next day there was no urine, check serum creatinine (Cr) 890μmol / L, urea nitrogen (BUN) 40mmol / L, emergency hospital. Physical examination: body temperature 36.5 ℃. Pulse 79 / min, blood pressure 125 / 90mmHg. Clear consciousness, cardiopulmonary and abdominal no positive signs, double hip swelling, double pubis, left sacroiliac joint tenderness, percussion pain positive pelvic separation squeeze test positive, left lower limb shortened iliac umbilical distance left 16cm, right 13cm . Right foot suture wounds have some exudate, left lower extremity has been traction nodules. Laboratory tests: white blood cells 14.6 × 109 / L, red blood cells 2.48 × 1012 / L, hemoglobin 86g / L. Urinary protein (3+), white blood cells 5 ~ 7 / HP, red blood cells 4 ~