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患女,37岁,因反复咳嗽,消瘦2年于1993年2月20日入院。体检:双上肺呼吸音粗糙,无啰音,心脏正常。X线胸片:双上浸润型肺结核。化验:BuN1.7mmol/L,Cr70umol/L,尿常规(一)。临床诊断:Ⅲ型肺结核上/上涂(一)进展期。入院后第4天给予异烟肼0.4/日,利福平0.45/日,乙胺丁醇0.75/日。两天后出现少尿,呕吐,颜面浮肿。次日化验:BuN19mmol/L,Cr 819.84umol/L,CO_2—CP17.1mmol/L,血K~+5.73mmol/L。尿蛋白(+)。考虑为利福平所致过敏性急性肾功能衰竭。抢救:立即停用抗痨药物,严格限制水和蛋白质摄入,利
Female, 37 years old, due to repeated cough, weight loss 2 years in February 20, 1993 admission. Physical examination: double lung breath sounds rough, no arousal, normal heart. X-ray: double infiltrative pulmonary tuberculosis. Assay: BuN1.7mmol / L, Cr70umol / L, urine routine (a). Clinical diagnosis: type Ⅲ tuberculosis on / Tu (a) progress. On the 4th day after admission, isoniazid 0.4 / day, rifampicin 0.45 / day, ethambutol 0.75 / day. After two days there oliguria, vomiting, facial edema. The next day assay: BuN19mmol / L, Cr819.84umol / L, CO_2-CP17.1mmol / L, blood K ~ +5.73mmol / L. Urinary protein (+). Consider the allergic acute renal failure caused by rifampicin. Rescue: Immediately stop anti-tuberculosis drugs, strict restrictions on water and protein intake, Lee