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患者,女,57岁,农民。于1988年7月3日因乏力,纳差,面部浮肿,血尿,皮肤紫斑,去某医院住院治疗17天,好转不大,作两次肾图(两个院)结果右肾无功能曲线,左肾严重损伤,结论:“尿毒症”“肾衰”劝告出院。患者曾患慢性肝炎三年,经用保肝药物治疗两年,查肝功能正常。无烟酒嗜好史。查体温36.2℃,脉搏64次/分,呼吸21次/分血压100/70毫米汞柱。发育中等,营养欠佳,浮肿,贫血貌。皮肤微黄,粘膜微白,表浅淋巴无异常。腹部右侧叩击轻度鼓音,右腹压痛明显,右脊肋角叩击痛,左腹重压稍痛较右侧轻,左脊肋角叩击痛较轻,肠鸣
Patient, female, 57 years old, farmer. On July 3, 1988 because of fatigue, anorexia, facial edema, hematuria, skin purpura, go to a hospital for 17 days treatment, little improvement, as the result of two renal chart (two hospitals) no right kidney function curve, Left kidney serious injury, Conclusion: “uremia” “Renal failure” advised to leave the hospital. Patients had chronic hepatitis for three years, after two years of treatment with liver drugs, check liver function is normal. Smokeless alcohol hobby history. Check body temperature 36.2 ℃, pulse 64 beats / min, breathing 21 times / min blood pressure 100/70 mm Hg. Moderately developed, poor nutrition, edema, anemia appearance. Skin yellow, mucous membrane slightly white, superficial lymph no abnormalities. The right side of the abdomen tapping mild drum sound, right abdominal tenderness significantly, the right ridge percussion pain, left side of the weight slightly lighter than the right side of the light, the left corner of the percussion neck pain lighter, bowel