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患者李某,女,15岁,学生。以脐周阵发性疼痛4天,风团、颜面浮肿、尿少、发热3天,于1981年9月7日入院。体检:体温39℃,脉搏108次/分,呼吸20次/分,血压120/70毫米汞柱。全身可见大小不等的风团,无脓疱、糜烂、溃疡等皮损。颜面浮肿,咽充血,扁桃体不肿大。腹软,肝脾未触及,脐周有轻度压痛,无反跳痛,未触及包块,两肾区有轻度叩击痛。皮肤划痕症阳性。化验检查:白细胞12,000,中性57％,淋巴20％,嗜酸性22％,单核1％;尿蛋白(++),红细胞(+),红细胞管型
Patient Lee, female, 15 years old, student. To umbilical paroxysmal pain for 4 days, wind group, face edema, oliguria, fever 3 days, on September 7, 1981 admission. Physical examination: body temperature 39 ℃, pulse 108 beats / min, breathing 20 beats / min, blood pressure 120/70 mm Hg. The body can see the size of the wind group, no pustules, erosion, ulcers and other lesions. Puffy face, pharyngeal congestion, tonsil does not enlarge. Abdominal soft, liver and spleen not touched, mild tenderness on the umbilical cord, no rebound tenderness, no palpable mass, mild percussion pain in both kidneys. Skin scratch positive. Laboratory tests: leukocyte 12,000, neutral 57%, lymphatic 20%, eosinophilic 22%, mononuclear 1%; urinary protein (++), red blood cells (+), red blood cell tube