论文部分内容阅读
患者,女,66岁。于两月前出现颜面浮肿、腹胀、食欲减退、乏力等症状未予注意,一周前出现畏寒、发热、右腰疼痛伴肉眼血尿,于1993年3月15日住温州市中医院内科。患者发病来无尿频、尿急、尿痛等表现,偶有恶心呕吐。体检:T38.2℃,BP20.5/11kPa,贫血貌,颜面及下肢浮肿。心率96次/分,律齐,心尖区闻及Ⅰ°SM,两肺无殊。腹软、肝肋下2cm,脾未及,无移动性浊音。右肾区明显叩击痛。实验室检查:血白细胞10×
Patient, female, 66 years old. Appeared two months ago, facial edema, abdominal distension, loss of appetite, fatigue and other symptoms were not noted, a week ago chills, fever, right lower back pain with gross hematuria, in March 15, 1993 Wenzhou Medical College Hospital. Patients with urinary frequency, urgency, dysuria and other manifestations, occasional nausea and vomiting. Physical examination: T38.2 ℃, BP20.5 / 11kPa, anemic appearance, facial and lower extremity edema. Heart rate 96 beats / min, law Qi, apex area smell and Ⅰ ° SM, two lungs without special. Abdomen soft, liver ribs 2cm, spleen, and no mobility dullness. Right kidney area obvious percussion pain. Laboratory tests: white blood cells 10 ×