例1,男,40岁。主因浮肿、尿少8天于1991年2月8日入院。体检:BP13.5/10.5KPa,面及下肢明显浮肿,心肺正常,腹膨隆,腹水征(+)尿常规:蛋白(卌),透明管型偶见,白细胞(+)腹水常规:乳白色混浊,细胞数20个/mm~3,单核80％,分叶20％,李瓦他试验(+)。腹水乳糜试验(+)。胆固醇7.03mmol/L,β脂蛋白8.42克/L甘油三酯2.68mmol/L,白蛋白12克/L,血沉26mm/60,BUN5.926mmol/L。诊为原发性肾病综合征。给予大剂量氟美松150mg/d,静脉冲击治疗3天后改为口服。减量维持3个月。青霉素预防感染,给低脂、低钠、高蛋白饮食,应用利尿剂,静滴白蛋白,30天后腹水消失,住院107天后尿常规、血脂、胆固醇检验正常出院。出院后3个月因感冒及停用激素导致 Example 1, male, 40 years old. Mainly due to edema, oliguria for 8 days in February 8, 1991 admission. Physical examination: BP13.5 / 10.5KPa, obvious edema of the face and lower extremities, normal cardiorespiratory, abdominal bulging, ascites (+) Urine routine: protein (卌), transparent tube occasionally, white blood cells (+) ascites routine: milky white opacity, Cell number 20 / mm ~ 3, mononuclear 80%, leaf 20%, Liwa he test (+). Ascites chylous test (+). Cholesterol 7.03mmol / L, beta lipoprotein 8.42g / L triglyceride 2.68mmol / L, albumin 12g / L, ESR 26mm / 60, BUN5.926mmol / L. Diagnosis of primary nephrotic syndrome. Give large doses of dexamethasone 150mg / d, intravenous shock treatment after 3 days to oral. Reduction for 3 months. Penicillin to prevent infection, to low fat, low sodium, high protein diet, the application of diuretics, intravenous albumin, ascites disappeared after 30 days, 107 days after hospital routine urine, blood lipids, cholesterol test normal discharge. 3 months after discharge due to cold and disable hormones