病例:患者,男,84岁,因“双下肢浮肿伴泡沫尿2个月,肾功能异常1个月”入我院诊治。入我院前2个月,患者自觉双下肢胫前区轻度浮肿,同时有尿中泡沫增多,遂至外院就诊。外院查尿常规示,尿蛋白(+++),红细胞(RBC)(-),尿蛋白定量1 130 mg/24 h;血清白蛋白(ALB)40 g/L,血肌酐(Scr)83μmol/L,抗中性粒细胞胞质抗体(ANCA)(-)。外院予缬沙坦(代文)治疗后,患者症 Case: patients, male, 84 years old, because of “double lower extremity edema with foam urine 2 months, renal dysfunction 1 month ” into our hospital for diagnosis and treatment. Into our hospital 2 months before, the patient consciously lower extremities in the anterior tibial area mild edema, increased urinary foam, then to the outside hospital. Urine protein (+++), erythrocyte (RBC) (-), urinary protein 1 130 mg / 24 h, serum albumin 40 g / L, serum creatinine 83 μmol / L, anti-neutrophil cytoplasmic antibody (ANCA) (-). Outside the hospital to valsartan (on behalf of the text) after treatment, patients with disease