1病历摘要患者男,31岁。因头晕并发现肾功能不全2周,于2004-11-15收入我科。患者于入院前2周无诱因感到腰酸、头晕、乏力,无头痛呕吐,无明显视物模糊,到当地医院检查发现血压高达250/150mm Hg(1mm Hg=0.133kPa),眼底检查示右眼底出血。当时尿色呈浓茶色,下肢轻度水肿,24h尿量约 1 medical record Summary Male patient, 31 years old. Because of dizziness and found that renal insufficiency 2 weeks, in 2004-11-15 income in our department. Patients were found to have backache, dizziness, fatigue, headache and vomiting 2 weeks before admission. No obvious blurred vision. Up to 250 / 150mm Hg (1mm Hg = 0.133kPa) was found in the local hospital. Fundus examination showed right eye bleeding. Color was dark brown urine, mild lower extremity edema, 24h urine about