病历摘要男患,31岁,汉族。1984年5月10日受凉感冒,10天后出现颜面及下肢浮肿,继之于两天内全身高度浮肿伴腹胀,尿量减少(300～400ml/日)。无尿频尿急和肉眼血尿。食欲不振、少言,嗜睡,时有神志恍惚。入院前神志不清,入院后曾出现昏迷抽搐,用甘露醇治疗后缓解。既往史不详。有吸烟饮酒嗜好。体检:T36.8℃,P100次/分,BP120/80mmHg。神志模糊,嗜睡状态,颜面潮红,颊部可见毛细血管网及不典 Medical history Male suffering, 31 years old, Han nationality. May 10, 1984 cold and cold, 10 days after the emergence of facial and lower extremity edema, followed by two days of systemic edema with abdominal distension, decreased urine output (300 ~ 400ml / day). Urinary frequency urgency and gross hematuria. Loss of appetite, few words, lethargy, sometimes trance. Confusion before admission, coma after admission had coma, with mannitol treatment ease. Past history unknown. Have a drinking and drinking hobby. Physical examination: T36.8 ℃, P100 beats / min, BP120 / 80mmHg. Ambiguous, drowsiness, facial flushing, visible capillary network and atypia in the cheek