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病例1,女,29岁。因面部红斑、脱发1.5年,浮肿、蛋白尿8个月,腹胀、尿少2个月,于1996年10月26日入院。入院检查:血ANA(+),Ads-DNA(+),Alb19.4g/L;尿蛋白定量12.1～19.4 g/24h;腹水为漏出液,乳糜试验(+);入院后按肾内科常规治疗及血浆置换一次,疗效不明显。1997年1月6日彩色B超示:下腔静脉内径21mm,其内可见长约187mm等低回声块状物,近端位于入右房处,堵塞段仅有5mm宽的血彩,右肾静脉部份阻塞。次日,行右股静脉留置导管,尿激酶15万U+生理盐水100ml,bid,从导管中滴入,持续3天,疗效不明显,患者自行出院。追踪观察,该患者半月后死于当地医院。病例2,男,22岁。因面部红斑,反复浮肿8个月,加重伴腹胀2.5个月,于1996年12月21日人院。入院检查:血ANA(+),Asm(+),Ads-DNA(++),Alb21g/L,尿蛋白定量14.4g/24h,腹水为漏出液,乳糜试验(+)。给予肾内科常规治疗,疗效不明显。97年1月7日彩色B超示:下腔静脉宽18mm,肾门近心端下
Case 1, female, 29 years old. Due to facial erythema, hair loss 1.5 years, edema, proteinuria for 8 months, bloating, oliguria for 2 months, on October 26, 1996 admission. Admission examination: blood ANA (+), Ads-DNA (+), Alb19.4g / L; urine protein quantitation 12.1 ~ 19.4 g / 24h; ascites as leakage, chylomicron (+); And plasma exchange once, the effect is not obvious. January 6, 1997 Color B ultrasound shows: the diameter of the inferior vena cava 21mm, which can be seen about 187mm long hypoechoic mass, the proximal end is located in the right atrium, the blockage is only 5mm wide blood, the right kidney Vein partially obstructed. The next day, the right femoral vein indwelling catheter, urokinase 150,000 U + saline 100ml, bid, drip from the catheter for 3 days, the effect is not obvious, patients discharged on their own. Following the observation, the patient died at a local hospital half a month later. Case 2, male, 22 years old. Due to facial erythema, repeated edema for 8 months, increased with bloating 2.5 months, December 21, 1996 hospital. Admission examination: blood ANA (+), Asm (+), Ads-DNA (++), Alb21g / L, urine protein 14.4g / 24h, ascites as leakage, chylous test (+). Give conventional treatment of renal medicine, the effect is not obvious. January 7, 1997 Color B ultrasound shows: inferior vena cava 18mm wide, proximal renal capsule