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编辑同志: 患者女性,24岁。主因浮肿2个月,加重10天于1990年8月27日入院。患者于2个月前始面部及下肢浮肿,近10天加重伴尿少,恶心、呕吐。查BP17.3/13kPa,颜面部浮肿,心率88次/分,腹水征阳性,腰背部及双下肢指凹性浮肿(卅)。化验Hb15.4g/L,总蛋白4.6g,白蛋白2.2g,球蛋白2.4g,β～LP14.9g/L,甘油三脂9.4mmol/L,胆固醇9.4mmol/L,BUN12.5～17.2mmol/L,尿蛋白((?)),颗粒管型(卅),24小时尿蛋白定量3g。诊断:肾病综合征Ⅱ型。入院后给强的松40mg/d
Editor's Comrade: Patient Female, 24 years old. Mainly due to edema 2 months, increased 10 days in August 27, 1990 admission. The patient had swollen facial and lower extremities 2 months ago with aggravating urine, nausea and vomiting in the past 10 days. Check BP17.3 / 13kPa, facial edema, heart rate 88 beats / min, positive ascites sign, lower back and lower extremity refers to the edema (卅). Assay Hb15.4g / L, total protein 4.6g, albumin 2.2g, globulin 2.4g, β ~ LP14.9g / L, triglyceride 9.4mmol / L, cholesterol 9.4mmol / L, BUN12.5 ~ 17.2mmol / L, urinary protein ((?)), Granular tube type (卅), 24-hour urinary protein 3g. Diagnosis: Nephrotic syndrome type Ⅱ. After admission to prednisone 40mg / d