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患者,男,17岁。因发热2月余,腰痛、面部及下肢浮肿10余天而入院。既往健康。家族中其母亲患有肾炎,且伴有高度近视、浮肿,曾于1989年5月入本院治疗,应用强地松、环磷酰胺疗效欠佳。查体:血压20.3/11kPa,双眼脸浮肿,双下肢重度凹陷性水肿,余未发现异常。视力:右眼0.1,左眼0.1,屈光不正。电测听正常。实验室检查:尿蛋白(+++),WBC 0～1个/HP,RBC 10个/HP,尿蛋白定量10.4g/24h,血肌酐88.40μmol/L,尿素氮5.68mmol/L,总蛋白38g/L,白蛋白17g/L,胆固醇16.98mmol/L,B超示双肾弥漫性改变。入院后给予强地
Patient, male, 17 years old. Due to fever in February, low back pain, swelling of the face and lower limbs more than 10 days and admitted to hospital. Past health. Family mother with nephritis, and accompanied by high myopia, edema, was admitted to our hospital in May 1989, the application of prednisone, cyclophosphamide poor efficacy. Physical examination: blood pressure 20.3 / 11kPa, eyelids face edema, severe lower deformity edema, I found no abnormalities. Eyesight: Right eye 0.1, left eye 0.1, refractive errors. Electrical test normal. Laboratory tests: Urine protein (+++), WBC 0-1 / HP, RBC 10 / HP, urine protein 10.4g / 24h, serum creatinine 88.40μmol / L, urea nitrogen 5.68mmol / L, total protein 38g / L, albumin 17g / L, cholesterol 16.98mmol / L, B ultrasound showed diffuse changes in the kidneys. Give strong ground after admission