京东誉美肾病医院    三级甲等肾病专科医院 免费咨询电话:4000-500-999

病例详情

疾病名称 尿毒症
病区 五病区 主治医生 郭文岗
省份 河北省 性别
年龄 31 入院时间 2018-4

入院前(接收治疗前)

入院前(接收治疗前):患者半年前因头晕乏力,就诊北京协和医院,检查血压160/100mmHg,血肌酐700umol/L,血红蛋白91g/L,诊为“慢性肾衰竭,肾性贫血”,建议患者血液透析治疗,患者拒绝。间断给予“硝苯地平控释片30mg,日一次口服控制血压,重组人促红素注射液3000iu一周2次皮下注射,叶酸片改善贫血”等治疗,平素血压控制在140-160/100mmHg左右,后自服中药汤剂,“保健品”,血肌酐逐渐升高,3个半月前出现胸闷憋气,夜间可以平卧,2个月前检查血肌酐2000umol/L,患者仍继续口服中药汤剂治疗,1个半月前出现纳呆,牙龈出血,17天前尿少,胸闷憋气夜间不能平卧,口腔溃疡,恶心呕吐,双膝关节以下疼痛明显,就诊我院。

入院中(接收治疗中)

入院中(接收治疗中):由急诊以慢性肾衰竭(尿毒症期)收入肾五病区,入院检查尿素氮64.74mmol/L,肌酐2285.2umol/L,给予血液透析治疗,输血纠正酸中毒,补钙,改善贫血等治疗。

入院后(接收治疗后)

入院后(接收治疗后):患者症状改善,检查血尿素氮34.57mmol/L,肌酐884.7umol/L,病情好转,胸闷憋气现象消失,夜间可平卧,恶心呕吐现象消失,行动便利。

医护感言

file_put_contents(): Only 0 of 194 bytes written, possibly out of free disk space

(1/1) ErrorException

file_put_contents(): Only 0 of 194 bytes written, possibly out of free disk space

in Filesystem.php line 122
at HandleExceptions->handleError(2, 'file_put_contents(): Only 0 of 194 bytes written, possibly out of free disk space', '/var/www/wap.jdymsbyy.com/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php', 122, array('path' => '/var/www/wap.jdymsbyy.com/storage/framework/sessions/UNFhjMusaQ0zAaejW5eSdcSc6MYNqSxmnMTRsX0n', 'contents' => 'a:3:{s:6:"_token";s:40:"ccGmGcSjlw9Kr9GSiTXqgieFgINrPdE5WQOI0xi2";s:9:"_previous";a:1:{s:3:"url";s:36:"http://wap.jdymsbyy.com/blk/post/125";}s:6:"_flash";a:2:{s:3:"old";a:0:{}s:3:"new";a:0:{}}}', 'lock' => true))
at file_put_contents('/var/www/wap.jdymsbyy.com/storage/framework/sessions/UNFhjMusaQ0zAaejW5eSdcSc6MYNqSxmnMTRsX0n', 'a:3:{s:6:"_token";s:40:"ccGmGcSjlw9Kr9GSiTXqgieFgINrPdE5WQOI0xi2";s:9:"_previous";a:1:{s:3:"url";s:36:"http://wap.jdymsbyy.com/blk/post/125";}s:6:"_flash";a:2:{s:3:"old";a:0:{}s:3:"new";a:0:{}}}', 2)in Filesystem.php line 122
at Filesystem->put('/var/www/wap.jdymsbyy.com/storage/framework/sessions/UNFhjMusaQ0zAaejW5eSdcSc6MYNqSxmnMTRsX0n', 'a:3:{s:6:"_token";s:40:"ccGmGcSjlw9Kr9GSiTXqgieFgINrPdE5WQOI0xi2";s:9:"_previous";a:1:{s:3:"url";s:36:"http://wap.jdymsbyy.com/blk/post/125";}s:6:"_flash";a:2:{s:3:"old";a:0:{}s:3:"new";a:0:{}}}', true)in FileSessionHandler.php line 83
at FileSessionHandler->write('UNFhjMusaQ0zAaejW5eSdcSc6MYNqSxmnMTRsX0n', 'a:3:{s:6:"_token";s:40:"ccGmGcSjlw9Kr9GSiTXqgieFgINrPdE5WQOI0xi2";s:9:"_previous";a:1:{s:3:"url";s:36:"http://wap.jdymsbyy.com/blk/post/125";}s:6:"_flash";a:2:{s:3:"old";a:0:{}s:3:"new";a:0:{}}}')in Store.php line 129
at Store->save()in StartSession.php line 87
at StartSession->terminate(object(Request), object(Response))in Kernel.php line 218
at Kernel->terminateMiddleware(object(Request), object(Response))in Kernel.php line 189
at Kernel->terminate(object(Request), object(Response))in index.php line 60