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病历摘要患者男性,34岁。因浮肿、蛋白尿反复进行性加重12年,咯鲜血一天于1979年3月19日急诊入院。患者自1968年开始出现颜面浮肿、蛋白尿。从1970年后,病情经常反复。1978年年底,劳累后出现剧烈头痛、恶心,口中有尿臭,血压为150/110毫米汞柱。1979年3月初,在一次发热、腹泻后浮肿加重,血压更高。于3月15日来我院门诊检查:血沉126毫米/小时;尿比重1.010;酚红排泄试验:2小时总量为0;同位素肾图示双侧曲线平坦。血尿素氮127毫克%。3月19日晨突然大量咳鲜血及鼻衄不止,遂入院。患者于1967年曾因反复咳嗽、咳脓性痰及痰中带血而进行了支气管碘油造影,诊断“右下支气管扩张症”。
Patient summary Male, 34 years old. Due to edema, proteinuria repeated progressive aggravating 12 years, slightly blood one day in March 19, 1979 emergency admission. Patients have had facial edema and proteinuria since 1968. From 1970 onwards, the disease often repeated. The end of 1978, after exertion, severe headache, nausea, mouth odor, blood pressure 150/110 mm Hg. Early March 1979, in a fever, diarrhea edema worsened, higher blood pressure. On March 15 to our hospital clinic examination: ESR 126 mm / h; urine specific gravity 1.010; phenol red excretion test: 2 hours total amount of 0; isotope kidney diagram bilateral curve is flat. Blood urea nitrogen 127 mg%. March 19 morning suddenly a lot of cough and epistaxis more than nose, then hospitalized. The patient had bronchial iodine oil imaging in 1967 due to repeated cough, cough purulent sputum and bloody sputum, diagnosing “right lower bronchiectasis.”