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患者:女,23岁,住院号66830。以“眼面部浮肿半月”为主诉,于1988年1月22日收住院。无低热、无肌肉关节疼。查体:体温37℃,血压:16.0/10.7kpa。神志清,全身皮肤粘膜无黄染、无出血点、无斑疹。表浅淋巴结无肿大。眼面部明显浮肿,咽部无异常。心肺及腹部检查无异常,双肾区叩痛明显。脊柱四肢无畸形,关节无红肿,双下肢呈指凹性浮肿(++)。辅检:血常规:血红蛋白100g/L,白细胞7.6×10~9/L,中性0.70,淋巴0.30,血沉20mm/h。尿常规:蛋白(+),红细胞(+),颗粒管型(+)。肝功能,血尿素氮,心电图检查均正常。入院诊断:急性肾小球肾炎。给予利尿剂等对症处理,三天后浮肿减轻。第八天浮
Patient: Female, 23 years old, hospital number 66830. With “eye facial swelling half a month” as the main complaint, in January 22, 1988 admitted to hospital. No low fever, no muscle joint pain. Physical examination: body temperature 37 ℃, blood pressure: 16.0 / 10.7kpa. Conscious, systemic skin mucosa without yellow dye, no bleeding, no spotted. Superficial lymph nodes without swelling. Obvious facial edema, no abnormal throat. Cardiopulmonary and abdominal examination no abnormalities, perineal area knocking pain obvious. Spinal limbs without deformity, joint swelling, double lower extremity was concave edema (++). Auxiliary tests: blood: hemoglobin 100g / L, white blood cells 7.6 × 10 ~ 9 / L, neutral 0.70, lymph 0.30, erythrocyte sedimentation rate 20mm / h. Urine: protein (+), red blood cells (+), granular tube (+). Liver function, blood urea nitrogen, ECG were normal. Admission diagnosis: acute glomerulonephritis. Give symptomatic diuretic treatment, edema relief after three days. Float on the eighth day