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患儿,男,1(1/2)岁,因发热、咳嗽一天,无尿、柏油便三天入院。患儿入院前五天发热,体温达39℃以上,肌注复方氨基比林,青霉素,次日热退,排尿约90毫升。入院前二天面黄,颜面浮肿,排柏油样大便。当地医院给葡萄糖盐水500毫升加庆大霉素3万 u 静滴,当日即无尿,曾抽搐一次。三个月前患腹疼治愈。体检:体温36.4℃,脉搏150次/分,呼吸32次/分,血压12/6.67Kpa,昏迷,时而烦躁,面色苍白,颜面及下肢轻度浮肿,全身无皮疹及出血点,口唇轻度发绀,左肺可闻及湿罗音,心率160次/分,心音稍低钝,肝肋下4cm,剑下5cm,质
Children, male, 1 (1/2) years old, due to fever, cough for a day, anuria, asphalt will be admitted to hospital for three days. Children admitted to hospital five days before the fever, body temperature reached above 39 ℃, intramuscular injection of aminopyrine, penicillin, heat the next day, urination about 90 ml. Two days before admission yellow face, face edema, row of asphalt-like stool. The local hospital to 500 ml of glucose saline plus gentamicin 30000 u intravenous infusion, the day that no urine, convulsions once. Suffering from abdominal pain three months ago. Physical examination: body temperature 36.4 ℃, pulse 150 beats / min, breathing 32 beats / min, blood pressure 12 / 6.67Kpa, coma, sometimes irritable, pale, facial and lower extremity mild edema, systemic rash and bleeding points, lips mild cyanosis , The left lung can be heard and wet rales, heart rate 160 beats / min, heart sound lower blunt, Liver ribs 4cm, Sword 5cm, quality