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例1女,46岁,于1992年11月17日因反复面部潮红,关节肿痛10余年,全身浮肿半年入院。化验红斑狼疮细胞阳性,抗核抗体1:80,抗DNA抗体50.6％,血尿素氮12.9mmol/L,血肌酐124.8μmol/L,24h尿蛋白7.18g。诊断系统性红斑狼疮,狼疮性肾病。给予激素、降压药、利尿剂等治疗,血压维持在22/12kPa左右。12月23日化验尿素氮17.2mmol/L,血肌酐494μmol/L,24h尿蛋白13.8g。1993年1月4日上午患者感觉头痛,烦躁不安,突然四肢颜面抽搐,意
Example 1 Female, 46 years old, on November 17, 1992 due to repeated facial flushing, joint swelling and pain more than 10 years, systemic edema admitted for six months. Laboratory lupus erythematosus cells were positive, antinuclear antibody 1:80, anti-DNA antibody 50.6%, blood urea nitrogen 12.9mmol / L, serum creatinine 124.8μmol / L, 24h urinary protein 7.18g. Diagnosis of systemic lupus erythematosus, lupus nephropathy. Give hormones, antihypertensive drugs, diuretics and other treatment, blood pressure maintained at 22 / 12kPa or so. December 23 test urea nitrogen 17.2mmol / L, serum creatinine 494μmol / L, 24h urinary protein 13.8g. January 4, 1993 morning, the patient felt headache, restlessness, suddenly facial convulsions, meaning