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例1,男性,28岁,未婚。因腰酸、乏力、头昏、蛋白尿半年于1993年10月16日入院。查体:BP正常。营养欠佳,慢性病容贫血貌。头颅及五官无异常。双肺(-)。心界向左稍扩大,心率88次/分,律齐,心尖区可闻及Ⅱ级收缩期吹风样杂音。腹平软,肋下肝脾未及。化验检查:Hb86g/L,RBC2.84×10~(12)/L,WBC5.6×10~9/L。尿常规:蛋白,RBC3～5/HP。血BUN39.9mmol/L,Cr952μmol/L,UA714μmol/L。血电解质正常。Ccr0.06ml/s。诊断:慢性肾功能衰竭(尿毒症期)。10月21日始行血液透析(HD)治疗。每周三次,每次透析4小时,并对症治疗。1994年2
Example 1, male, 28 years old, unmarried. Due to backache, fatigue, dizziness, proteinuria six months on October 16, 1993 admission. Physical examination: BP normal. Poor nutrition, chronic illness, poor blood appearance. No abnormalities in the skull and facial features. Double lung (-). Heart slightly expanded to the left, heart rate 88 beats / min, law Qi, apex area can be heard and Ⅱ grade systolic hair-like murmur. Abdomen soft, rib under the liver and spleen not yet. Laboratory tests: Hb86g / L, RBC2.84 × 10 ~ (12) / L, WBC5.6 × 10 ~ 9 / L. Urine: protein, RBC3 ~ 5 / HP. Blood BUN39.9mmol / L, Cr952μmol / L, UA714μmol / L. Blood electrolytes normal. Ccr 0.06 ml / s. Diagnosis: Chronic renal failure (uremia period). October 21 hemodialysis (HD) treatment. Three times a week, each dialysis for 4 hours and symptomatic treatment. 1994 2