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患者赵某,男,30岁,反复颜面与下肢浮肿3年在当地医院确诊为慢性肾炎,加重伴畏寒、发热、人事不清、尿少约一周,1991年明9日转入我院。入院T39.5℃,BP21.33/13.33kPa,神志恍惚,重度贫血貌,有精神症状;皮肤散在瘀点,巩膜轻度黄染,颈阻(+),右肺呼吸音减低,心律齐,肝肋下2cm,双下肢凹陷性水肿(+++),双侧克氏征(+),巴氏征(±),血红蛋白46g/L,红细胞1.61×10~(12)/L,白细胞7.4×10~9/L,血尿素氮36.2mmol/L,肌酐901.7μmol/L,血沉70mm/h,心电图见心肌损害,肝功GOT119°,白蛋白/球蛋白=2.7/3.0,胸片报告右上肺及肺门阴影,入院当天即行血透,应用广谱抗生素,输血与血浆,病人继续弛张热,意识同前,并于3月16日发生两次抽搐。脑脊液
Patient Zhao, male, 30 years old, repeated facial and lower extremity edema 3 years in the local hospital diagnosed with chronic nephritis, aggravated with chills, fever, unclear, about one week urine, 1991, 9 transferred to our hospital. Admission T39.5 ℃, BP21.33 / 13.33kPa, delirium, severe anemia appearance, with psychiatric symptoms; skin scattered in petechiae, scleral mild yellow dye, neck resistance (+), right lung breath sounds reduced, Liver inferior ribs 2 cm, lower extremity pitting edema (+++), bilateral Kirschner’s disease (+), Pakistan’s sign (±), hemoglobin 46g / L, red blood cells 1.61 × 10-12 / L, white blood cells 7.4 × 10 ~ 9 / L, blood urea nitrogen 36.2mmol / L, creatinine 901.7μmol / L, erythrocyte sedimentation rate 70mm / h, electrocardiogram see myocardial damage, liver function GOT119 °, albumin / globulin = 2.7 / 3.0, Lung and hilar shadow, hemodialysis on the day of admission, the application of broad-spectrum antibiotics, blood transfusion and plasma, the patient continued to relax fever, consciousness with the former, and on March 16 twice convulsions. Cerebrospinal fluid