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患者,男,18岁,农民,因双下肢紫癜伴腹胀、腹痛、肉眼血尿及双下肢浮肿半年入院。患者于半年前无明显诱因出现对称性双下肢远端略高出皮面皮疹,痒,4周后消失,诊断为过敏性紫癜。后出现肉眼血尿及双下肢浮肿,腹痛,腹胀,腹围明显增加,外院查尿RBC10～15/HP,24小时尿蛋白定量3.6g,血ALB15g/L,抽取腹水为乳糜样,约10000ml,腹水增长很快,为进一步诊治收入病房。入院查体:神清、消瘦,BP18.6/9.3kPa
Patients, male, 18 years old, peasants, due to double lower extremities purpura with abdominal distension, abdominal pain, gross hematuria and edema of both lower extremities admitted. Symptoms of patients six months ago, no obvious incentive Symmetry slightly lower extremity slightly higher than the skin rash, itching, disappeared after 4 weeks, the diagnosis of allergic purpura. After the appearance of gross hematuria and lower extremity edema, abdominal pain, abdominal distension, abdominal circumference increased significantly, outside the hospital check urine RBC10 ~ 15 / HP, urine protein in 24 hours quantitative 3.6g, blood ALB15g / L, ascites ascites, about 10000ml, Grow rapidly, for further diagnosis and treatment of income wards. Admission examination: Shenqing, weight loss, BP18.6 / 9.3kPa