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患者,女,37岁。因全身浮肿二月余于1996年7月22口入院。体检:BP16/13kPa,双眼睑水肿,颜面蝶形红斑,腹部移动性浊音阳性,下肢浮肿,余无异常发现。检查:尿蛋白(卅),尿RBC30～35/HP。血BUN9.6mmol/L,Cr141.4μmol/L,白蛋白17g/L,血中连续二次找到狼疮细胞,ANA 1∶60阳性;B超发现少量腹水,少量心包积液。诊断:系统性红斑狼疮性肾炎(LN)。入院后给予强地松50mg/天治疗四周后尿蛋白仍(卅),24小时尿蛋白定量7.8g,同时患者出现头晕,测BP23/14kPa,血EUN15mmol/L,Cr282.9μmol/L,即停服强地松,予甲基强地松龙
Patient, female, 37 years old. February due to systemic edema in July 1996 admitted to hospital. Physical examination: BP16 / 13kPa, double eyelid edema, facial butterfly erythema, abdominal mobility dullness positive, lower extremity edema, I found no abnormalities. Check: urinary protein (卅), urine RBC30 ~ 35 / HP. Blood BUN9.6mmol / L, Cr141.4μmol / L, albumin 17g / L, the blood found two consecutive lupus cells, ANA 1:60 positive; B-found a small amount of ascites, a small amount of pericardial effusion. Diagnosis: systemic lupus nephritis (LN). After admission to prednisone 50mg / day after treatment of urinary protein still (卅), 24-hour urinary protein quantitative 7.8g, at the same time patients with dizziness, measured BP23 / 14kPa, blood EUN15mmol / L, Cr282.9μmol / L, Strong pine, to methyl prednisolone