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慢性肾小球肾炎患者有时可因肾小管对葡萄糖重吸收功能障碍而出现糖尿,但血糖是正常的,此种情况在临床上是罕见的。我们曾遇见1例,兹报告如下。吴××,男性,23岁,住院号6839。患者因浮肿、蝮胀、尿少3个月,伴恶心呕吐2天,于1979年11月17日入院。同年3月曾因类似症状就诊于当地保健院,诊为慢性肾小球肾炎,经中草药治疗后浮肿消退。入院体检,T37℃,P80次/分,BP130/96mmHg。贫血外观,颜面浮忡。浅表淋巴结未触及,皮肤粘膜无出血点。咽无充血,双侧扁桃体无红肿。心律齐,心尖区司闻及Ⅰ°收缩期杂音。左胸叩诊浊音,两肺无干湿性啰音。腹部膨隆、腹水征阳性,肝脾触诊不满意。双肾区叩击痛(-)。双下肢有明显凹陷性浮肿。
Chronic glomerulonephritis patients may sometimes due to renal tubular glucose reabsorption dysfunction and the emergence of diabetes, but blood glucose is normal, this situation is clinically rare. We have met one case and are hereby reported as follows. Wu × ×, male, 23 years old, hospital number 6839. Patients due to edema, swelling, oliguria for 3 months, with nausea and vomiting for 2 days, on November 17, 1979 admission. In the same year in March had a similar symptom clinic in a local health care hospital, diagnosed as chronic glomerulonephritis, swelling after treatment by Chinese herbal medicine subsided. Admission examination, T37 ℃, P80 beats / min, BP130 / 96mmHg. Anemia appearance, face floating sad. Superficial lymph nodes not touched, skin and mucous membrane without bleeding point. Pharyngeal without congestion, bilateral tonsils without swelling. Qi heart, apex area Secretary Wen and Ⅰ ° systolic murmur. Left chest percussion dullness, wet and dry rales of both lungs. Abdominal bulge, ascites sign positive, liver and spleen palpation not satisfied. Kidney area percussion pain (-). Both lower limbs have obvious depression edema.