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患者,男性,21岁,战士。因尿少浮肿4天于1978年8月14日入院。病前二周无发热感冒、咽痛、皮肤疖肿等,家族中无类似疾病。查体:血压100/70mmHg,全身浮肿,心肺未见异常.肝脾未触及,腹水征阴性,血象正常,尿常规蛋白(++++),白细胞0—1,管型0—1,无红细胞,肾功正常,血浆总蛋白3.2克,血β脂蛋白730mg%,胆固醇470mg%,甘油三酯196mg%。患者高度浮肿,蛋白尿,血浆总蛋白低,胆固醇增高,但无肾功损害,血压不高,尿内无红细胞,诊断为原发性肾小球肾病。给予常规治疗、卧床休息,低盐饮食,青霉素每日160万单位肌注共10天,利尿剂间断使用,激
Patient, male, 21 years old, warrior. Less urine due to edema 4 days in 1978 August 14 admission. Two weeks before the illness without fever, sore throat, skin boil and so on, no similar disease in the family. Examination: blood pressure 100 / 70mmHg, body edema, no abnormal heart and lung. Liver and spleen not touched, ascites sign negative, blood normal, urine protein (++++), white blood cells 0-1, tube 0-1, no Erythrocytes, normal renal function, total plasma protein 3.2 grams, serum beta lipoprotein 730mg%, cholesterol 470mg%, triglyceride 196mg%. Patients with high edema, proteinuria, low total plasma protein, increased cholesterol, but no renal damage, blood pressure is not high, no red blood cells in the urine, the diagnosis of primary glomerular nephropathy. Give routine treatment, bed rest, low-salt diet, penicillin 1.6 million units per day intramuscular injection for 10 days, intermittent use of diuretics