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急性肾衰竭1例王丽荣,女,42岁,农民,主因浮肿3月余,加重1个月,少尿1周于2009—7—30住院。3个多月前眼睑浮肿,无紫癜、溃疡、发热等,未诊治。1月前双下肢浮肿,逐渐波及全身,化验:尿常规蛋白+++,白蛋白12g/L,肾功能正常,肾穿刺示:轻中度系膜增生性改变,予强的松60mg qd,尿蛋白转阴,浮肿消退。1周前患者双限睑浮肿,尿量每日约100毫升,尿蛋白+++,白蛋白13.9g/L,血肌酐462umol/L,3天前于解放军二五二医院姓右侧股静脉插管术。既往体健。查
A case of acute renal failure Wang Lirong, female, 42 years old, peasants, mainly due to edema more than 3 months, increased 1 month, oliguria 1 week in 2009-7-30 hospitalization. More than 3 months ago eyelid edema, no purpura, ulcers, fever, no diagnosis and treatment. 1 month ago, both lower extremity edema, and gradually spread to the whole body, laboratory tests: urine routine protein +++, albumin 12g / L, normal renal function, renal biopsy showed: mild to moderate mesangial proliferative changes to prednisone 60mg qd, Urinary protein was negative, edema subsided. A week ago, patients with double eyelid edema, urine output of about 100 ml per day, urinary protein +++, albumin 13.9g / L, serum creatinine 462umol / L, 3 days ago in the People’s Liberation Army Hospital, Intubation. Past physical health. check