例1,女,62岁。因发热、头痛、腰痛4天,心悸、胸闷1天于1991年4月16日入院。既往无心脏病史。体检:体温38.4℃,脉搏60次/分,血压13/10 kPa。面颈部皮肤潮红,球结膜充血水肿,软腭见出血点,心浊音界无扩大,心率64次/分,心律不齐,心音强弱不一,双肾区叩痛。实验室检查:血红蛋白142 g/L,白细胞10.8×10~9/L,中性0.36,淋巴0.64,血小板42×10~9/L,尿蛋白(+++),免疫荧光抗体检查 Example 1, female, 62 years old. Due to fever, headache, back pain 4 days, palpitations, chest tightness 1 day in April 16, 1991 admission. No previous history of heart disease. Physical examination: body temperature 38.4 ℃, pulse 60 beats / min, blood pressure 13/10 kPa. Facial and neck skin flushing, conjunctival hyperemia and edema, soft palate see bleeding point, no expansion of the heart dullness, heart rate 64 beats / min, arrhythmia, heart sounds vary, peritoneal area percussion pain. Laboratory tests: hemoglobin 142 g / L, white blood cells 10.8 × 10 9 / L, neutral 0.36, lymph 0.64, platelets 42 × 10 ~ 9 / L, urinary protein (+++), immunofluorescence antibody test