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患者,男28岁。因全身浮肿伴尿少,蛋白尿12天入院。查体:颜面部及全身中度浮肿,双下肢指凹性浮肿(++)。实验室检查:红细胞645/mm~3。白细胞11600/mm~3,尿蛋白(+++),颗粒管型0～2/HPF,24小时尿蛋白定量6.9g,血浆白蛋白1.7g%,血沉67mm/小时。血胆固醇750mg/dl,血 FDP32ng。入院后按肾病综合征治疗,用激素、利尿剂、人体白蛋白输入。20天后全身浮肿加重,出现胸腹水、无尿、右下肢高度肿胀>左下肢,伴有麻木、疼痛,考虑肾病综合征高凝状态合并右下肢静脉血栓形成。予低分子
Patient, male, 28 years old. Due to systemic edema with oliguria, proteinuria 12 days admission. Physical examination: facial and systemic moderate edema, both lower extremity refers to the edema (++). Laboratory tests: red blood cells 645 / mm ~ 3. Leucocyte 11600 / mm ~ 3, urinary protein (+++), granular tube 0 ~ 2 / HPF, urine protein quantitation 6.9g 24 hours, plasma albumin 1.7g%, erythrocyte sedimentation rate 67mm / h. Blood cholesterol 750mg / dl, blood FDP32ng. Admission by nephrotic syndrome treatment, with hormones, diuretics, human albumin input. 20 days after the edema of the body aggravated, there was pleural effusion, anuria, swelling of the right lower extremity> left lower extremity, accompanied by numbness, pain, consider the nephrotic syndrome hypercoagulable state merger with right venous thrombosis. To low molecular weight