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患者,女,17岁,主因全身浮肿、尿少2个月,加重10天于1990年8月9日入院。入院两个月前咽痛,继之出现双侧眼睑、面部浮肿,逐渐波及全身,日尿量少于500ml,腰痛,外院服中药治疗无效。入院前10天血压升高至24/13kPa,心悸,全身浮肿加重,日尿量不足100ml。查体:T36℃,P110次/min,Bp20/13kPa,重病容,贫血貌,咽部充血,扁桃体Ⅱ°大。全身水肿。肺部可闻及细湿性罗音。心率110次/min,律齐,无病理性杂音。腹水征阳性,双肾区叩击痛阳性。辅助检查:血Hb84g/L。尿蛋白++
Patients, female, 17 years old, mainly due to systemic edema, oliguria for 2 months, 10 days aggravated on August 9, 1990 admission. Two months before admission sore throat, followed by bilateral eyelids, facial edema, and gradually spread to the body, daily urine output less than 500ml, back pain, hospital service invalid Chinese medicine. 10 days before admission blood pressure increased to 24 / 13kPa, palpitations, systemic edema aggravated daily urine less than 100ml. Physical examination: T36 ℃, P110 times / min, Bp20 / 13kPa, severe disease, anemia appearance, throat congestion, tonsil Ⅱ °. Body edema. The lungs can be heard and thin wet rales. Heart rate 110 beats / min, law Qi, no pathological murmur. Ascites sign positive, peritoneal area percussion pain positive. Auxiliary examination: blood Hb84g / L. Urinary protein ++