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男,26岁,因反复浮肿8月余,咳嗽,气促一月余,尿少浮肿加重于1991年7月4日入院。去年曾因肾病综合征住院治疗。体检:BP14/10kPa,全身高度浮肿,右肺音弱,双肺未闻及啰音,腹水征,肝脾肋下未及。实验室检查:尿蛋白,血BUN16.7mmol/L,SCr277umol/L,TP2.92g/L A/G1.71/1.21,B超:左肾12.0×4.2cm,右肾12×.4.5cm,无结石和积液。胸片示:两下肺感染,右胸腔中等量积液。入院诊断:①肾病综合征Ⅱ型并右胸腔积液;②肺感染。治疗经过:给予限钠、限水、适量优质蛋白饮食,抗感染抗凝利尿等治疗。每日静脉滴注速尿200毫克仍无效,
Male, 26 years old, more than eight months due to repeated edema, cough, shortness of breath more than a month, oliguria less edema aggravated in July 4, 1991 admission. Last year was hospitalized for nephrotic syndrome. Physical examination: BP14 / 10kPa, systemic edema, weak right lung, lungs unheard and rales, signs of ascites, liver and spleen ribs did not. Laboratory tests: urine protein, blood BUN16.7mmol / L, SCr277umol / L, TP2.92g / LA / G1.71 / 1.21, B super: left kidney 12.0 × 4.2cm, right kidney 12 × .4.5cm, no stones And fluid. Chest X-ray showed: two lung infection, right chest fluid volume. Admission diagnosis: ① nephrotic syndrome type Ⅱ and right pleural effusion; ② lung infection. After treatment: given limited sodium, water, the amount of high-quality protein diet, anti-infective anticoagulant diuretic treatment. Daily intravenous furosemide 200 mg is still invalid,