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患者,男性,21岁,白族。因反复咯血伴头昏、乏力,活动后胸闷1年,加重半月,于1990年5月19日收住我院。患者去年6月因受凉感冒咳嗽、咯血痰住某医院,摄胸片检查诊断为“肺炎”,经治疗好转出院。近半月头昏、乏力、胸闷症状加重。并于入院后第6天出现无原因咯血约100ml,尿量如常,色黄较混浊,无腰痛及明显浮肿。8岁时曾患血吸虫病已治愈。查体:T38.1℃,P100次/分,R20次/分,BP15.2/0.7kPa。重度贫血貌,面部轻度浮肿,咽部充血,心肺(-),肝脾未触及,双下肢无水肿。Hb 50 g/L、RBC1.75×10~(12)/L、WBC8.8×10~9/L、N70％、L26％,E4％,血小板130×10~9/L。尿常规:蛋白+++,红细胞++,颗粒管型1～2/低倍,尿素氮8.7mmol/L,肌酐145μmol/L,血清总蛋白52g/L,
Patient, male, 21 years old, Bai nationality. Due to repeated hemoptysis with dizziness, fatigue, chest tightness after 1 year activities, increased half a month, on May 19, 1990 admitted to our hospital. In June last year, the patient was diagnosed as “pneumonia” due to a cold and cough and cough and sputum. She was diagnosed as “pneumonia” and was discharged after treatment was improved. Nearly half of the dizziness, fatigue, chest tightness symptoms worse. On the 6th day after admission, there was about 100 ml of hemoptysis without cause. The urine output was normal, the color yellow was cloudy, the back pain was low and the edema was obvious. Schistosomiasis at 8 years of age has been cured. Physical examination: T38.1 ℃, P100 beats / min, R20 beats / min, BP15.2 / 0.7kPa. Severe anemia appearance, facial mild edema, throat congestion, cardiopulmonary (-), liver and spleen not touched, no lower extremity edema. Hb 50 g / L, RBC1.75 × 10-12 / L, WBC8.8 × 10-9 / L, N70%, L26%, E4%, and platelets 130 × 10-9 / L. Urine routine: protein +++, erythrocyte ++, particle tube 1 ~ 2 / low, urea nitrogen 8.7mmol / L, creatinine 145μmol / L, serum total protein 52g / L,