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甄××,女,38岁,教师,住院号142299。主诉:疲乏无力,食欲不振,反复面部及双下肢浮肿4个多月,于1975年7月28日,因以上症状加重而入院。既往有慢性肾炎史。入院体格检查:神志清,倦怠状,平卧位,唇无发绀,血压180/88~140/90毫米汞柱,心肺正常,双下肢轻度浮肿,血清钾19.3毫克%,二氧化碳结合力22.4容积%~45.9容积%,非蛋白氮112毫克%。小便常规,尿蛋白(++),白细胞(++),住院治疗34天,曾用碳酸氢钠,双氢克尿塞,安体舒通,脉舒静,口服氯化钾,肌注氨茶碱,以上症状体征好转,能自理生活,心肺正常,非蛋白氮下降至97毫克%,病情处于稳定状态。于9月1日下午17时患
Zhen × ×, female, 38 years old, teacher, hospital number 142299. Chief Complaint: Fatigue, loss of appetite, repeated facial and lower extremity edema more than 4 months, July 28, 1975, due to the above symptoms and admission. Past history of chronic nephritis. Admission physical examination: conscious, burnout, supine position, lip cyanosis, blood pressure 180/88 ~ 140/90 mmHg, normal heart and lungs, mild lower extremity edema, serum potassium 19.3 mg%, carbon dioxide binding capacity of 22.4 Volume % To 45.9 vol%, non-protein nitrogen 112 mg%. Urinary protein (++), white blood cells (++), hospitalized for 34 days, used sodium bicarbonate, hydrochlorothiazide, spironolactone, pulse Shijing, oral potassium chloride, intramuscular aminophylline, Symptoms and signs improved, able to take care of themselves, normal heart and lung, non-protein nitrogen dropped to 97 mg%, the condition is stable. At 17 o’clock on the September 1 affected