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患者男,17岁,住院号78～684。1978年11月30日于前臂做结核菌素试验,约10分钟局部肿痒。继而头至全身弥漫骚痒,大片荨麻疹样皮疹,下肢尤重,左膝部有一水泡伴膝关节疼痛。疹退后全身浮肿,心悸气短咳嗽尿少赤。经当地医院化验,尿蛋白(++),红细胞(+++)、管型(+),听诊两肺有水泡音,诊为“肾炎”、“肺炎”,曾静点红霉素、氢考等,皮疹、浮肿好转,但呼吸困难加重,于12月10日转入我院。既往素健,否认结核病史,无药物过敏史。查体:呼吸促迫、半坐位,面肿发绀,心率120次/分,心尖部Ⅱ度缩鸣,肝大3厘米,疑有腹水,
Male patient, 17 years old, hospital number 78 to 684. November 30, 1978 in the forearm tuberculin test, about 10 minutes local itching. Then head to the whole body diffuse itching, large urticaria-like rash, especially lower extremities, left knee with a knee joint pain. Rash back body edema, shortness of breath, palpitations, shortness of breath cough. The local hospital tests, urinary protein (++), red blood cells (+ +), tubular (+), auscultation of lungs with blisters sound, diagnosed as “nephritis”, “pneumonia” Examination, rash, edema improved, but increased breathing difficulties, on December 10 into our hospital. Past prime, denied a history of tuberculosis, no history of drug allergy. Physical examination: forced breathing, half-sitting, swollen face swollen, heart rate 120 beats / min, apical II degree Ming Ming, liver 3 cm, suspected ascites,