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程××,女 25岁,住院号139010。患者于1980年6月16日因腰痛口服瑞培林Rheopyrin(匈亚利)片剂,次日发现眼睑及下肢轻度浮肿,未引起重视,继服3日共24片后,腰痛好转,但全身浮肿加重,尿少,肉眼血尿五天而就诊。即往无肝肾病史。体检:一般情况好,颜面浮肿,心肺(-),肝脾未触及,两肾区轻叩痛,下肢浮肿(+)。化验血常规正常,尿蛋白(+++),红细胞满视野。临床诊断:药物过敏性血尿。治疗经过:入院后给维生素C、氟美松、五苓散加味治疗3天后浮肿消退,尿蛋白(-)。第7天
Cheng × ×, female 25 years old, hospital number 139010. Patients on June 16, 1980 due to low back pain rebelin Lin Rheopyrin (hungary) tablets, the next day found mild edema of the eyelids and lower extremities, did not pay attention to, after serving a total of 3 on the 3rd, the back pain improved, but Edema heavier body, oliguria, gross hematuria for five days and treatment. That no history of liver and kidney disease. Physical examination: the general situation is good, facial edema, cardiopulmonary (-), liver and spleen not touched, the two kidney area tap pain, lower extremity edema (+). Laboratory blood normal, urinary protein (+++), red blood cells full field. Clinical diagnosis: drug allergic hematuria. After treatment: After admission to vitamin C, dexamethasone, Wuling San flavored treatment 3 days after the edema subsided, urinary protein (-). Day 7