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1 病例病例1男,16岁,因尿少浮肿7天于1984年7月1日入院。起病初有头痛发冷发热,两天后出现腰痛尿少及眼睑下肢浮肿。无肝肾病史。体检:神志清。眼睑明显浮肿,心肺正常,肝肋下及边,脾未触及,腹水征(-),肾区叩痛(+),下肢浮肿(+),无神经系统疾病体征。实验室检查:尿蛋白++++,红细胞8～10个/HP,白细胞8～10个/HP颗粒管型2～3个/HP。多次查肝功正常,HBsAg(-)。入院后按肾炎治疗,并输血两次共400ml。浮肿减轻,但尿蛋白仍++～++++,故给予强的松口服,每日60mg,一个月后因效果不好逐渐减量,减至20mg/日时,诉恶心呕吐及食欲不振,出现黄疸。查ALT160U、TTT8U,黄
1 case cases A male, 16 years old, less swelling due to urinary 7 days in July 1, 1984 admission. Early onset of headache chills fever, low back pain and edema of the lower eyelid two days later. No history of liver and kidney disease. Physical examination: mind clear. Eyelid edema, normal cardiopulmonary, hepatic ribs and spine, spleen not touched, signs of ascites (-), percutaneous renal area (+), lower extremity edema (+), no signs of nervous system disease. Laboratory tests: urinary protein ++++, 8 to 10 red blood cells / HP, 8 to 10 white blood cells / HP granular tube 2 to 3 / HP. Multiple checks of normal liver function, HBsAg (-). After admission by nephritis treatment, and blood transfusion a total of 400ml. Edema to reduce, but the urinary protein is still ++ ~ ++++, so given prednisone oral, 60mg daily, due to the effect of a month after gradual reduction, reduced to 20mg / day, v. Nausea and loss of appetite , Jaundice appears. Check ALT160U, TTT8U, yellow