病历摘要:患者男性,67岁,农民,因发热、头痛、腰痛,皮肤出血点,少尿四天,于1985年7月26日转入我院。既往无高血压及心脏病史。个人史:吸烟四十年,平均每天30支。体检:T39℃,P80次/分,R20次/分,BP100/60mmHg,酒醉貌,球结膜水肿,软腭、胸前壁及腋下均见出血点,肾区叩痛,心肺听诊正常。化验:尿蛋白+++,脓球+,红血球+,颗粒管型++。血:白细胞为9.9×10~9/L,N77%,L22%,异淋1%,红细胞3.8×10~(12)/L,血红蛋白110g/L,血小 Medical records summary: Male patient, 67 years old, farmer, due to fever, headache, back pain, skin bleeding point, oliguria for four days, on July 26, 1985 into our hospital. No previous history of hypertension and heart disease. Personal history: Smoking forty years, an average of 30 a day. Physical examination: T39 ℃, P80 beats / min, R20 beats / min, BP100 / 60mmHg, drunken appearance, conjunctival edema, soft palate, chest wall and armpits were bleeding, kidney area percussion pain, cardiopulmonary auscultation normal. Assay: Urine protein +++, pus ball +, erythrocyte +, granular tube type ++. Blood: white blood cells 9.9 × 10 ~ 9 / L, N77%, L22%, different leaching 1%, erythrocyte 3.8 × 10-12 / L, hemoglobin 110g / L,