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病例摘要患者,女,52岁,住院号88—9352。1988年7月13日开始发冷、发热,体温持续在38～39℃之间,伴全身疼痛,2天后少尿、血尿、浮肿腹胀、恶心、食欲不振、头晕。7月18日开始巩膜皮肤黄染。在当地医院治疗无效,7月22日转来我院。既往无肾脏病史。体检:T37℃,P80次/分,Bp16/10kpa(120/75mmHg),R20次/分,巩膜皮肤黄染,颜面浮肿,心率80次/分,无杂音,心律整,两肺呼吸音粗糙,无罗音,腹平软,肝脾未扪及。实验室检查:血红蛋白106g/L、白细胞8.2×10~9/L,中性70%,淋巴28%、单核2%、尿常
Case Summary The patient, female, 52 years old, hospital number 88 - 9352. July 13, 1988 began to chills, fever, body temperature continued between 38 ~ 39 ℃, with generalized pain, oliguria, hematuria, swelling of bloating after 2 days , Nausea, loss of appetite, dizziness. July 18 sclera skin yellow dye. Invalid treatment at the local hospital, July 22 transferred to our hospital. No previous history of kidney disease. Physical examination: T37 ℃, P80 / min, Bp16 / 10kpa (120 / 75mmHg), R20 beats / min, sclera skin yellow dye, facial edema, heart rate 80 beats / min, no noise, No Luo sound, abdominal soft, liver and spleen not palpable. Laboratory tests: hemoglobin 106g / L, white blood cells 8.2 × 10 ~ 9 / L, neutral 70%, lymphatic 28%, mononuclear 2%, urine