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1 病史患者男性,42岁,因浮肿、腹泻,发现肾功能减退数日入院。患者自称以往体健,近月一直出差,时感乏力不适,偶尔双下肢浮肿,多次腹泻后出现恶心、头痛,乏力加重。外院查 Scr 264μmol/L(3 mg/dl),遂入院进一步诊治。追溯病史9个月前体检时,曾发现血沉115 mm/1h,因头痛服“布洛芬”治疗已
A history of male patients, 42 years old, due to edema, diarrhea, found renal dysfunction within a few days admission. In the past, the patient claimed to have been physically healthy and had been on a business trip in recent months. His feeling of fatigue and weakness occasionally edema on both lower extremities. After multiple diarrhea, he developed nausea, headache, and aggravated fatigue. Outside the hospital investigation Scr 264μmol / L (3 mg / dl), then hospital for further diagnosis and treatment. Tracing the medical history Nine months ago when the physical examination, he found that erythrocyte sedimentation rate 115 mm / 1h, due to headache service “ibuprofen ” has been