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患者,男,40岁,因颜面浮肿,尿少3天,加重1天入本院内科。尿常规:蛋白卅,红细胞1～2/400×。白细胞2～3/400×,CO_2CP及BUN均正常。临床诊断:急性肾小球肾炎。经用青霉素G钠盐560万u静滴及利尿药治疗6天而转入中医科服中药治疗。转入时以腰酸,双下肢无力为主要症状。查体:Bp16/11kPa,颜面无浮肿,咽部充血,扁桃腺Ⅱ°大,颈部活动自如,气管居中,甲状腺无肿大,肾区叩痛阳性,双下肢轻度可凹性浮肿。除服中药外,继续用青霉素,静滴第5天中颈部突然呈弥漫性肿胀,活动受限,胸
Patients, male, 40 years old, due to facial edema, oliguria for 3 days, aggravating one day into our hospital. Urine: protein 卅, red blood cells 1 ~ 2/400 ×. Leukocytes 2 ~ 3/400 ×, CO_2CP and BUN were normal. Clinical diagnosis: acute glomerulonephritis. With penicillin G sodium 5.6 million u intravenous and diuretic treatment for 6 days and transferred to the Chinese medicine treatment of traditional Chinese medicine. When transferred to backache, weakness of both legs as the main symptoms. Physical examination: Bp16 / 11kPa, no swelling of the face, hyperemia of the throat, large amygdala Ⅱ °, free movement of the neck, tracheal center, no enlargement of the thyroid gland, kidney area knocking positive, mild depression of both lower extremity edema. In addition to taking traditional Chinese medicine, continue to use penicillin, intravenous infusion of the fifth day in the neck suddenly showed diffuse swelling, limited mobility, chest