论文部分内容阅读
患者女性,21岁,1年前患急性肾炎,治疗后好转。近1周来,患者出现全身浮肿、尿少,伴腰痛,于1990年11月5日入院,诊断慢性肾炎急性发作。体检:T37.8C,P100次/min,BP90/60mmHg(12/8kPa),全身浮肿,心肺(一),肾区叩击痛及压痛(+)。实验室检查尿液:尿蛋白((?)),脓细胞(++),红细胞4—7个。X 线检查:心肺(-)。心电图(附图 A)示:窦性心律。给予青霉素、速尿静脉滴注.强的松、氯化钾口服治疗20余天后,尿蛋白(±)。患者于11月28日
A female patient, 21 years old, had acute nephritis 1 year ago and improved after treatment. Nearly a week, patients with systemic edema, oliguria, with low back pain, admitted on November 5, 1990, the diagnosis of acute episode of chronic nephritis. Physical examination: T37.8C, P100 times / min, BP90 / 60mmHg (12 / 8kPa), systemic edema, cardiopulmonary (a), percussion and tenderness in kidney area (+). Laboratory urine: urine protein ((?)), Pus (++), red blood cells 4-7 months. X-ray examination: cardiopulmonary (-). ECG (Figure A) shows: sinus rhythm. Given penicillin, furosemide intravenous infusion. Prednisone, potassium chloride after oral treatment for more than 20 days, urine protein (±). Patient on November 28