患者,女,31岁。因间歇水肿,双膝关节疼痛8年,伴头昏、乏力5年入院。曾在外院多次住院,检查尿常规,蛋白+++～++++,诊断为“肾炎”。经用激素及中药治疗病情稍好,未坚持治疗。5年前起头昏乏力,面色苍白,逐年加重。以往无使用抗风湿药及烷化剂片,无与有毒物接触史。 体查:贫血貌,无黄染,未见出血点,浅表淋巴结不大,心率100次,心尖区可闻及SMⅡ级,腹软,肝脾无肿大,下肢水肿。 Patient, female, 31 years old. Due to intermittent edema, knee pain for 8 years, with dizziness, fatigue, 5-year admission. Had repeatedly hospitalized outside the hospital, check urine routine, protein +++ ~ ++++, diagnosed as “nephritis.” Hormone and Chinese medicine treatment of the disease slightly better, did not insist on treatment. 5 years ago, dizziness, pale, increasing year by year. In the past without the use of anti-rheumatic drugs and alkylating tablets, without contact with toxic history. Physical examination: anemia, no yellow dye, no bleeding, superficial lymph nodes, heart rate 100 times, the apex area can be heard and SM Ⅱ level, abdominal soft, no swelling of the liver and spleen, lower extremity edema.