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【病例】于女士63岁,患糖尿病23年,同时合并高血压、冠心病、糖尿病肾病。肾功能不全的表现主要有食欲不振、下肢水肿、尿蛋白(+)、尿素氮14毫摩/升、肌酐260微摩/升。两年前因第2次心肌梗死,在冠状动脉植入支架,平时服用阿司匹林、丹参滴丸,心绞痛很少发作。半年前的一天,于女士突然排柏油样大便,并面色苍白,
[Case] Ms. 63 years old, suffering from diabetes for 23 years, combined with hypertension, coronary heart disease, diabetic nephropathy. Main manifestations of renal insufficiency, loss of appetite, lower extremity edema, urinary protein (+), urea nitrogen 14 mmol / l, creatinine 260 microliter / liter. Two years ago because of the second myocardial infarction, stent implantation in the coronary artery, usually taking aspirin, Danshen dripping pills, angina seizures rarely. One day six months ago, Ms. suddenly put on a tarred stool and looked pale,