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女患,25岁。1987年11月12日因高烧伴心前区憋痛15天住院。平素多饮、多尿,口渴。曾多次低血钾而致下肢瘫痪。体检:T40℃,P102次,Bp13.3/8kPa(100/60mmHg)。鼻梁及两颧蝶型色素沉着,两腋下可触及2×3cm大小的淋巴结,质地较硬,无触痛。心脏各瓣膜区未闻及杂音,可闻及心包摩擦音。肝右肋下3cm,质软.实验室检查:Hb85g/L,ESR 135mm/h,血清钾3.0～3.6mmol/L,氯108～125mmol/L,CO_2CP19.7mmol/L。尿蛋白l.26g/d,禁水12小时尿渗透压350mmol/L,
Female, 25 years old. November 12, 1987 due to high fever with heart area before 15 days hospitalization. Usually drink more, more urine, thirst. Has repeatedly hypokalemia caused paralysis of lower limbs. Physical examination: T40 ℃, P102 times, Bp13.3 / 8kPa (100 / 60mmHg). Nose and two zygomatic butterfly pigmentation, the two axillary palpable 2 × 3cm size of the lymph nodes, texture hard, no tenderness. The heart valve area has not heard of noise, can be heard and pericardial frictional sound. Liver right subcostal 3cm, soft. Laboratory tests: Hb85g / L, ESR 135mm / h, serum potassium 3.0 ~ 3.6mmol / L, chlorine 108 ~ 125mmol / L, CO_2CP19.7mmol / L. Urine protein l.26g / d, water for 12 hours urine osmolarity 350mmol / L,