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患者女性,73岁,因反复尿频、尿急、尿痛30余年,发现尿素氮升高3年、加重半月,于1987年10月20日入院。入院查体:一般情况差,贫血貌,面部浮肿,肝肋下2,5cm、质中、无压痛,余无明显异常。Hb6.1～7g,BUN92mg％,肌酐3～5mg％。诊断慢性肾盂肾炎、肾功能衰竭、尿毒症期。予以氧化淀粉,极化疗法,病情一度好转,BUN下降至33mg％,后因感冒,病情再次加重,出现多脏器衰竭,心衰、心包炎、胃穿孔、弥漫性腹膜炎,经保守治疗病情渐渐好转。1987年12月1日尿粪检查发现霉菌,12月2日上午用克霉灵100mg加生理盐水50ml静滴,先后共给予克霉灵200mg,当天下午即感双手疼痛,指端发绀,次日四肢末梢均发绀、
Female patients, aged 73, due to repeated urinary frequency, urgency, dysuria more than 30 years and found that urea nitrogen increased three years, increased half a month, on October 20, 1987 admission. Admission examination: poor general condition, anemia appearance, facial edema, hepatic ribs 2,5 cm, quality, no tenderness, I no obvious abnormalities. Hb6.1 ~ 7g, BUN92mg%, creatinine 3 ~ 5mg%. Diagnosis of chronic pyelonephritis, renal failure, uremia period. To oxidized starch, polarization therapy, the condition was improved, BUN dropped to 33mg%, due to a cold, the condition aggravated again, there multiple organ failure, heart failure, pericarditis, gastric perforation, diffuse peritonitis, conservative treatment of the disease gradually Better. December 1, 1987 urinary and fecal examination found that mold, December 2 morning with Ketamine 100mg plus saline 50ml intravenous infusion, has given a total of 500 grams of Kill mildew, the afternoon that the feeling of pain in both hands, fingers cyanosis, the next day Extremities are cyanotic,