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例1.女,18岁。因发作性肉眼血尿1年余,门诊以 IgA 肾病收住院。患者1年前无明显诱因出现洗肉水样血尿,不伴腰痛及尿路刺激症状,休息后减轻,劳累及剧烈活动后加重。体检:T36.5℃、BP15/10kPa,一般情况良好,心肺(-),输尿管走行无压痛,双肾区无叩击痛。B 超、肾图、静脉肾盂造影及膀胱镜检查未见异常。在 B 超引导下行右肾穿刺病理活检:可见5个肾小球.未见明显病变。多次尿沉渣查结核菌(-)、瘤细胞(-)。尿沉
Example 1. Female, 18 years old. Due to episodes of gross hematuria more than 1 year, clinics to IgA nephropathy admitted to hospital. Patients with no obvious incentive to wash meat-like hematuria 1 year ago, without back pain and urinary tract irritation, rest after the reduction, fatigue and severe aggravating activities. Physical examination: T36.5 ℃, BP15 / 10kPa, generally good, cardiopulmonary (-), ureteral walking no tenderness, no perineal pain perineal area. B ultrasound, renal mapping, intravenous pyelography and cystoscopy showed no abnormalities. Under the B-guided renal biopsy biopsy: visible 5 glomerular .No obvious lesions. Check urinary sediment multiple times (-), tumor cells (-). Urine Shen