以急性腹痛为首发症状的TINU综合征一例
<正>患者:女,37岁,因"右上腹胀痛伴恶心、呕吐10天"入住本院。入院前10天患者无明显诱因出现右上腹部持续性胀痛,伴恶心、呕吐,呕吐胃内容物,无畏寒发热、腹泻便秘、呕血黑便、关节疼痛等不适。于外院住院查血肌酐314μmol/L,考虑"胃肠炎或胆囊炎",予以相关对症治疗后症状未见明显缓解,后于本院就诊。起病10天体质量下降约5kg,否认不洁饮食史,否认长期药物使用史,否认重金属类物品接触史及重大手术史,既往无肾脏病史。入院时24h尿量约700 ml/天。查体:T 37℃、P 80次/分、R 18次/分、BP105/80 mmHg,皮肤、巩膜...
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| Main Authors: | , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Department of Journal of Clinical Nephrology
2018-01-01
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| Series: | Linchuang shenzangbing zazhi |
| Online Access: | http://www.lcszb.com/thesisDetails?columnId=57913950&Fpath=home&index=0 |
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