病历摘要患者男,22岁。于1990年9月8日以“血尿2月,少尿、腹痛、浮肿1月”为主诉入院。1990年7月10日无明显诱因突然出现全身乏力,高热,体温39.6℃。按“上感”服用复方新诺明2片,阿斯匹林1片。热退后出现咳嗽,略少量带血丝粘痰。肉眼血尿,尿量800毫升左右,双下肢凹陷性浮肿,腹痛,颜面部轻度浮肿。血压在13～20kPa。血肌酐286μmol/L,尿素氮8.2mmol/L,二氧化碳结合力18.72mmol/L。尿蛋白(+++),尿红细胞(+++)。尿蛋白定量8.0克/24h。B超示双肾弥漫性损害。考虑病人为急性肾炎综合征。在抗感染同时氟美松冲击治疗。剂量分别为30毫克、50毫克,50毫克隔日一次,共3次。冲击后精神、 Patient summary Male, 22 years old. On September 8, 1990 to “hematuria in February, oliguria, abdominal pain, edema in January,” the main complaint was hospitalized. July 10, 1990 no obvious incentive to sudden malaise, fever, body temperature 39.6 ℃. According to the “sense” taking cotrimoxazole 2 tablets, 1 aspirin. Cough after fever, a slight amount of bloody viscous phlegm. Gross hematuria, urine output of about 800 ml, double lower extremity edema, abdominal pain, facial swelling mildly. Blood pressure at 13 ~ 20kPa. Serum creatinine 286μmol / L, urea nitrogen 8.2mmol / L, carbon dioxide binding 18.72mmol / L. Urinary protein (+++), urinary red blood cells (+++). Proteinuria 8.0 g / 24h. B ultrasound showed diffuse renal damage. Consider the patient as acute nephritic syndrome. At the same time anti-flu dexamethasone impact treatment. Dose were 30 mg, 50 mg, 50 mg every other day, a total of 3 times. After the impact of the spirit,