论文部分内容阅读
涂××,男,11岁,于1960年8月18日住院。主诉:全身浮肿两年四个月,1958年4月有发热、脸肿,尿少色深,逐渐水肿波及全身,約20余天症状始消失,嗣后多次水肿再发,1958年10月住某医院治疗,診断为腎炎。此次入院前20余天,又出現水肿,輕度气短,食慾尚可,小便量少,大便正常。体检:发育正常,营养欠佳,輕度呼吸困难,皮肤粘膜蒼白,全身皮肤具高度凹陷性水肿,无淋巴结肿大,心脏正常,两肺均可听到乾性囉音,腹部膨隆,有移动性浊音,肝脾未触及。化驗結果:血:血色素92％,红細胞410万,白細胞10,600,中性76％,淋巴23％,嗜酸性1％。血沉第一小时末58毫米,血浆蛋白3.24克％,白蛋白1.56克％,球蛋白1.68克％,非蛋白氮33.5毫克％,肌酐1.31毫克％。胆固醇600毫克％,二氧化碳結合力43容积％。
Tu XX, male, 11 years old, was hospitalized on August 18, 1960. Chief complaint: whole body edema two years and four months, April 1958 fever, swollen face, dark urine, gradually edema spread to the body, about 20 days before the onset of symptoms disappear, repeated multiple edema later, in October 1958 to live a Hospital treatment, diagnosis of nephritis. More than 20 days before admission, there edema, mild shortness of breath, appetite is acceptable, less urine, normal stool. Physical examination: normal development, poor nutrition, mild respiratory problems, mucocutaneous skin, skin with highly pitting edema, no lymphadenopathy, normal heart, both lungs can hear dry rales, abdominal bulging, mobility Voiced, liver and spleen not touched. Test results: blood: hemoglobin 92%, 4.1 million red blood cells, white blood cells 10,600, 76% neutral, lymph 23%, 1% eosinophilic. ESR 58 mm at the end of the first hour, plasma protein 3.24 g%, albumin 1.56 g%, globulin 1.68 g%, non-protein nitrogen 33.5 mg%, creatinine 1.31 mg%. Cholesterol 600 mg%, carbon dioxide binding 43% by volume.