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例1 男,16岁,1984年4月某日额头皮肤被野蜂螫伤,局部肿痛,数日后颜面、颈、四肢逐渐出现水肿反复发作,入院前半年水肿加重、尿少、乏力,于1985年5月26日入院。体检:Bp14/8kPa,颜面、颈、双下肢轻度凹陷性水肿,心肺(一),肝脾(一),双肾区叩痛。尿蛋白++,颗粒管型2～6个/LP,尿蛋白定量4.2g/24h,尿 C_3 0.33mg/dL,血 BUN 6.1mmol/L,血 Cr 70.7umol/L,血A/G=13/18g/L, 总胆固醇12.4mmol/L,ESR60mm/第1小时,肾图示双肾分泌功能欠佳。诊断:蜂螫后肾炎、肾病综合征。予强的松治疗2个月余,浮肿消退,尿蛋白转阴,痊愈出院。继续用维持量并中药治疗一年后随访,未见复发。例2 男,14岁,入院前8个月捕打野
Example 1 Male, 16 years old, April 1984 One day the forehead skin was beeswax injury, local swelling and pain, a few days later face, neck, limbs edema recurrent seizures, increased edema in the first half of admission, less urine, fatigue, at May 26, 1985 admission. Physical examination: Bp14 / 8kPa, face, neck, lower limbs slightly depressed edema, cardiopulmonary (a), liver and spleen (a), renal area percussion. Urinary protein ++, granule 2 to 6 / LP, urine protein 4.2g / 24h, urine C_3 0.33mg / dL, blood BUN 6.1mmol / L, blood Cr 70.7umol / L, blood A / G = 13 / 18g / L, total cholesterol 12.4mmol / L, ESR60mm / first hour, kidneys showed poor renal secretion. Diagnosis: bee nephritis, nephrotic syndrome. Prednisone for more than 2 months, edema subsided, urine protein negative, healed and discharged. Continue to maintain the volume and treatment of traditional Chinese medicine after a year follow-up, no recurrence. Example 2 Male, 14 years old, 8 months before admission catches wild