慢性肾功能衰竭(CRF)的临床表现十分复杂,以卧位时喘息样呼吸困难就诊者并非少见,其是与慢性肾炎高血压并急性肺水肿和尿毒症肺迥然不同的一组症候群。临床明确诊断不难,但在急诊和夜诊时,尤其在基层医院常贻误诊治,现就我们所见的45例分析报道如下:1 临床资料1.1 一般资料 男27例,女18例,年龄15～51岁,平均32岁。原发病中慢性肾小球肾炎29例,慢性肾 The clinical manifestations of chronic renal failure (CRF) are complex and it is not uncommon for wheeze-like dyspnoea patients to lie down to bedside. It is a distinct syndrome of chronic pulmonary nephritis with acute pulmonary edema and uremia. Clinically clear diagnosis is not difficult, but in emergency and night visit, especially in primary hospitals often misdiagnosis, now we see 45 cases reported as follows: 1 Clinical data 1.1 General Information 27 males and 18 females, age 15 ~ 51 years old, average 32 years old. Chronic glomerulonephritis in primary disease in 29 cases, chronic kidney disease