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病史摘要 女性患者,59岁,因发热、少尿、昏迷3d于1984年9月21日入院。患者有尿频、尿急、尿痛、畏寒、发热反复发作史20余年,外院诊断为“慢性肾盂肾炎”。1984年7月3日日左侧颈部肿块、发热39℃,在外院治疗半月后热退、肿块消失,拟诊为“淋巴结炎”。9月10日因低热,尿蛋白++～+++,脓细胞40～50个/高倍视野,红细胞>100个/高倍视野,血尿素氮36.5mg％。血肌酐4.5mg％,血钾6.5mEq/L_2血钠133mEq/L,CO_2CP20.5Vol％。全身皮肤搔痒,咳嗽,用青、氯霉素及速尿等治疗未见
Medical history Abstract Female patient, aged 59, was admitted to hospital on September 21, 1984 due to fever, oliguria and coma. Patients with frequent urination, urgency, dysuria, chills, fever, recurrent history of more than 20 years, the hospital diagnosed as “chronic pyelonephritis.” July 3, 1984 on the left neck mass, fever 39 ℃, half a month after the treatment in the hospital retreat, the mass disappeared, diagnosed as “lymphadenitis.” September 10 due to fever, urinary protein ++ ~ +++, pus 40 ~ 50 / high power field, red blood cells> 100 / high power field, blood urea nitrogen 36.5mg%. Serum creatinine 4.5mg%, serum potassium 6.5mEq / L 2 serum sodium 133mEq / L, CO_2CP20.5Vol%. Systemic skin itching, cough, with green, chloramphenicol and furosemide and other treatments have not seen