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患者,女,17岁,于1980年1月28日入院。两月前自觉头昏、腰疼、继而出现眼睑、双下肢浮肿伴尿蛋白(+)。肌注青、链霉素及利尿药未好转。一月前某院诊为急进性肾炎、肾功能不全。1月9日开始服地塞米松,肌注新青霉素Ⅱ。体检:体温36℃,脉搏72次,血压184/114。发育正常,前胸部及双下肢有散在瘀斑。眼睑、背、骶部及双下肢轻度浮肿。五官、肺及神经系统(一),心界向左扩大,心律齐,未闻病理性杂音。腹部明显膨隆,腹围81cm,有移动性浊音,肝脾触诊不满意。实验室检查:红细胞283
The patient, female, 17 years old, was admitted on January 28, 1980. Two months ago consciously dizzy, back pain, followed by eyelids, lower extremity edema with urinary protein (+). Intramuscular injection of streptomycin and diuretics did not improve. A month ago, a hospital diagnosed as acute nephritis, renal insufficiency. January 9 began to dexamethasone, intramuscular injection of penicillin Ⅱ. Physical examination: body temperature 36 ℃, pulse 72 times, blood pressure 184/114. Normal development, both the lower extremities of the chest and scattered ecchymosis. Eyelids, back, sacral and mild lower extremity edema. Facial features, lungs and nervous system (a), heart to the left to expand, heart Qi Qi, no pathological murmur. Obvious bulging abdomen, abdominal circumference 81cm, a moving dullness, palpation of liver and spleen are not satisfied. Laboratory examination: erythrocyte 283