肺出血—肾炎综合征误诊1例报告

• 作 者: 候代详 何德安
• 机 构: 山东省成武县医院,山东省成武县医院,
• 出 处: 临床误诊误治
• 发表日期: 1988年04期
• 关键词: 肾炎综合征 肺出血 肺结核治疗 全身浮肿 乡医院 急性肾炎 面黄 个月 含铁血黄素 肾小球基底膜

患者男,26岁。因反复咯血,进行性面黄及乏力1年,全身浮肿2个月,于1987年9月3日入院。入院前1年无明显原因而反复出现少量咯血,曾在多处就诊,按肺炎、肺结核治疗无效。于2个月前出现全身浮肿、尿少,在本乡医院诊为“急性肾炎”,经相应治疗无效。以往无有关病史。

Male patient, 26 years old. Due to repeated hemoptysis, progressive facial and fatigue 1 year, systemic edema 2 months, on September 3, 1987 admission. One year before admission, there was no obvious reason and repeated small amount of hemoptysis, had multiple visits, according to pneumonia, tuberculosis treatment ineffective. 2 months ago appeared systemic edema, oliguria, in the township hospital diagnosed as “acute nephritis”, the corresponding treatment is invalid. No previous history.