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1.病例介绍 患者××,男性,39岁,汉族。因双侧腰痛,尿少二天于1996年10月28号入我院。三天前因感冒自服“感冒通片”,每日二次,第次二片,共服四片,否认同时服用其它药物。服药12小时后感双腰区胀痛,以右侧为甚,呈持续性,无肉眼血尿,次日饮食正常,尿量明显减少,约400～500毫升/24小时,出现双眼睑浮肿。否认既往有肾脏病史。入院查体:体温36.7℃,脉搏87次/分,呼吸22次/分,血压16/12KPa,心肺无异常。腹软,肝脾未触及,双肾区叩痛阳性,双下肢轻度指凹性浮肿。实验室检查:血色素149g/L,血白细胞8.6×10~9/L,中性粒细胞0.81,淋巴细胞0.19,血小板236×10~9/L;尿镜检无异常,尿八项中蛋白(+),余阴性;24小时尿蛋白定量1.3g/
1. Case description Patients × ×, male, 39 years old, Han nationality. Due to bilateral low back pain, urinary few days in October 28, 1996 into our hospital. Three days ago due to cold self-serving “cold pass,” twice daily, the second film, served a total of four, denied taking other drugs at the same time. Twelve hours after taking medication, double waist pain, to the right is even, was persistent, no gross hematuria, normal diet the next day, urine output decreased significantly, about 400 to 500 ml / 24 hours, there double eyelid edema. Denied past history of kidney disease. Admission examination: body temperature 36.7 ℃, pulse 87 beats / min, breathing 22 beats / min, blood pressure 16 / 12KPa, no abnormal heart and lung. Abdominal soft, liver and spleen not touched, kidney area percussion pain positive, double lower extremity mild concave edema. Laboratory tests: hemoglobin 149g / L, white blood cells 8.6 × 10 ~ 9 / L, neutrophils 0.81, lymphocytes 0.19, platelets 236 × 10 ~ 9 / L; +), The remaining negative; 24-hour urinary protein quantitative 1.3g /