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患者男,56岁,因发现尿蛋白阳性11个月,全身水肿20 d,腹胀7 d于2012年6月21入院。患者于11个月前体检发现尿蛋白(+),未予特殊诊治。20 d前出现双侧踝部水肿,逐渐蔓延至全身,以双下肢为著。7 d前出现腹胀,尿蛋白定量12.8 g/d,血清白蛋白(ALB)17.3 g/L,总胆固醇(TC)15.13 mmol/L,甘油三酯(TG)2.02 mmol/L。腹部B超示腹水。查体:眼睑及双下肢水肿,腹膨隆。实验室检
The patient, 56 years old, was admitted to hospital on June 21, 2012 because of urinary protein positive for 11 months, systemic edema for 20 days and abdominal distension for 7 days. Urine protein (+) was found on physical examination 11 months prior to diagnosis and no special treatment was given. Bilateral ankle edema 20 days ago, gradually spread to the body, with both lower extremities as. Abdominal distension occurred before 7 d. Urine protein was 12.8 g / d, serum albumin (ALB) 17.3 g / L, total cholesterol 15.13 mmol / L, and triglyceride 2.02 mmol / L. Abdominal B-ascites. Physical examination: eyelid and lower extremity edema, abdominal bulging. Laboratory test