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一、病例摘要患者男性,17岁,因发热、腹痛、腹泻伴双下肢浮肿一周。在当地服诺氟沙星,腹泻减轻,双下肢红肿胀疼,阴囊肿胀,腹胀。否认癫痫病史。化验:尿蛋白+4,颗粒管型少许。查体:T38℃,P96次/分,R20次/分,BP16/10Kpa。眼睑浮肿,球结合膜水肿。右侧扁桃体Ⅰ°肿大,双肺未闻及罗音。心率96次/分,律齐,无杂音。下腹部压痛。腹水征阳性,肾区叩痛。阴囊、腰骶部、双下肢凹陷性浮肿。双下肢皮肤紫暗,温度高,膝关节活动
First, the patient summary Male, 17 years old, due to fever, abdominal pain, diarrhea with lower extremity edema week. In the local service norfloxacin, reduce diarrhea, swelling and pain in both lower extremities, scrotum swelling, bloating. Denied the history of epilepsy. Assay: Urine protein +4, pellet type a little. Physical examination: T38 ℃, P96 beats / min, R20 beats / min, BP16 / 10Kpa. Eyelid edema, ball conjunctiva edema. Right tonsil I ° swollen, lungs did not smell and rales. 96 beats / min, law Qi, no noise. Lower abdominal tenderness. Positive signs of ascites, kidney area percussion pain. Scrotum, lumbosacral, double lower limb depression edema. Double lower extremity skin dark purple, high temperature, knee activity