1病历摘要女,64岁。因反复蛋白尿水肿30 a,肌酐缓慢升高8 a,加重1个月入院。患者30 a前因腰酸、腰痛查尿常规:蛋白(+),诊断为慢性肾炎。2010-05因颜面四肢水肿,夜尿增多,每晚4次,泡沫尿明显,无肉眼血尿,24 h尿量明显减少,至我院查肌酐199.4μmol/L,继续服用肾衰宁等药物。近20 1 medical record summary female, 64 years old. Due to repeated proteinuria edema 30 a, creatinine slowly increased 8 a, increased 1 month admission. Patients 30 years ago due to backache, low back pain check urinary routine: protein (+), diagnosed as chronic nephritis. 2010-05 due to facial edema, increased nocturia, night 4 times, foamy urine significantly, no gross hematuria, 24 h urine output was significantly reduced to our hospital to check creatinine 199.4μmol / L, to take other drugs such as renal failure rather. Nearly 20