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患女,17岁,因浮肿、心慌、尿少于1989年11月23日按慢性肾炎尿毒症第2次住院。查体:半卧位,贫血貌,颜面及下肢浮肿,颈静脉怒张。心界向两侧扩大,心音低钝,心尖部可闻Ⅲ级SM。肺(一)。肝肋下1.5cm、剑下3.5cm。ECG 示心肌缺血。胸透心脏扩大。RBC3.1×10~(12)/L,WBC10.1×10~9/L,N0.56,L0.44,Hb100g/L,BUN 32mmol/L,CO_2CP9.1mmol/L,K~+5.7mmool/L,Na~+138.7mmol/L,Ca~(2+)1.5mmol/L,血浆蛋白51g/L,白蛋白37g/L,球蛋白14g/L,GPT200u。尿蛋白(+++),住院治疗
Female, 17 years old, due to edema, palpitation, urinary less than in November 23, 1989 according to chronic nephritis uremia the second hospitalization. Physical examination: semi-recumbent position, anemia, facial and lower extremity edema, jugular vein engorgement. Heart to expand on both sides, low heart sound, apex can be heard Ⅲ grade SM. Lung (a). Liver ribs 1.5cm, sword 3.5cm. ECG showed myocardial ischemia. Chest heart enlargement. RBC3.1 × 10-12 / L, WBC10.1 × 10-9 / L, N0.56, L0.44, Hb100g / L, BUN 32mmol / L, CO_2CP9.1mmol / L, K ~ + 5.7mmoolool /L,Na~+138.7mmol/L,Ca~(2+)1.5mmol/L, plasma protein 51g / L, albumin 37g / L, globulin 14g / L, GPT200u. Urinary protein (+++), hospitalized