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C_1q肾病首先由Jennette和Hipp报道,目前国内仅报道二例,现将我院所治一例报告如下。患者,男性,49岁,电焊工,病历号:91—2606。患者91年4月因上呼吸道感染4天后出现双眼脸及双下肢浮肿伴尿量减少,24小时尿量700 ml左右,化验尿蛋白+++,RBC满视野,经消炎治疗一周后,患者浮肿加重入院。体检:T 36.5℃、P80次/分、Bp 18/10 Kpa,轻度贫血貌,全身凹陷性浮肿,双肺呼吸音减弱,心脏正常,腹部隆起,腹水征(+),肝、脾未触及,双下肢重度浮肿。实验检查:尿蛋白++++,24小时尿点白定量11.52 g,尿糖(-),
C_1q kidney disease was first reported by Jennette and Hipp, at present, only two cases were reported in our country. Patient, male, 49 years old, welder, medical record number: 91-2606. Patients in April 91 due to upper respiratory tract infection 4 days after the emergence of both eyes face and double lower extremity edema with decreased urine output urine volume of about 700 ml, urine protein +++, RBC full field of view, anti-inflammatory treatment for one week after the patient edema Increase admission. Physical examination: T 36.5 ℃, P80 beats / min, Bp 18/10 Kpa, mild anemia appearance, body pitting edema, lung breath sounds weakened, normal heart, abdominal bulge, signs of ascites, liver and spleen not touched Severe edema of both lower extremities. Experimental tests: urinary protein ++++, urine volume of 24 hours urine quantitative 11.52 g, urine sugar (-),