患男,17岁,以皮肤瘙痒10d,全身浮肿尿少3d之主诉于1995年8月9日入院。10余日前割生漆一次,双手及面部均接触过生漆,10d前开始感四肢颜面搔痒,随之搔痒范围及程度进行性加重,波及全身,但以阴囊部最为显著,未做特殊处理。3d前出现尿少,全身浮肿,上腹部不适,恶心呕吐,入院前24h尿量不足400ml,颜色深褐,浮肿加重,伴有头昏头痛。既往无肾炎及其它系统慢性病史。 查体T36C,P88次/min,R20次/min,BP24/14.6kPa。神志清,全身浮肿,以颜面及阴囊部为著,四肢及面部皮肤上有较多的红色丘疹,个别形成水泡,并可见散在的黑色生漆斑,心肺无异常,肝脾未触及,腹水征阳性,双脊区有叩击痛,神经系统无异常。 实验室检查 血常规正常。尿常规:蛋白(+++),红细胞 Suffering from men, 17 years old, to the skin itching 10d, the main complaint of systemic edema urine 3d was admitted on August 9, 1995. More than 10 days ago cut the paint once, both hands and face are exposed lacquer, 10d before the sense of limbs itch, accompanied itching range and degree of progressive increase, affecting the whole body, but the most prominent scrotum, without special treatment. Less urine before before 3d, body edema, abdominal discomfort, nausea and vomiting, 24h urine output before admission less than 400ml, color dark brown, edema aggravated, accompanied by dizziness headache. No past history of nephritis and other chronic diseases. Physical examination T36C, P88 times / min, R20 times / min, BP24 / 14.6kPa. Sense of the whole body edema, with facial and scrotum as the limbs and facial skin more red papules, the individual blisters, and visible scattered black paint spots, no abnormal heart and lung, liver and spleen not touched, ascites sign positive , Double ridge area percussion pain, no abnormalities in the nervous system. Laboratory tests blood normal. Urine: protein (+++), red blood cells