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例1 白××.女.18岁,学生,未婚,住院号 Ao6,964.腰痛、眼脸浮肿半月、血尿三天。于1982年8月12日入院,该患在1977年春季。患“感冒”以后经常巩膜充血,眼眶胀痛。畏光,曾诊断为“巩膜炎”,一年来反复血尿、半年前做肾盂造影。并来发现异常,近半月来无明显诱因巩膜又充血,腰痛、眼脸浮肿。三天前因淋雨而着凉、发烧、咳嗽、出现血尿、无尿频、尿急、尿痛。既往无皮疹及出血病史。否认结核病史。月经正常,在近亲中无类似病史。查体:血压110/80,体温36.5.脉搏80。呼吸20,发育正常。营养佳、皮肤无皮疹及出血斑。浅表淋巴结未触及,巩膜暗紫色充血、眼球有压痛、视力正常。扁桃体
Example 1 White × ×. Female .18 years old, student, unmarried, hospital number Ao6,964. Back pain, eyelid edema half a month, hematuria for three days. Admitted on August 12, 1982, suffering from the spring of 1977. Suffering from “cold” often scleral congestion, orbital pain. Photophobia, had a diagnosis of “scleritis”, repeated hematuria over the past year, made pelvis six months ago. And to find abnormalities, no obvious incentive for nearly half a month sclera and congestion, back pain, eyelid edema. Three days ago due to rain and cold, fever, cough, hematuria, frequent urination, urgency, dysuria. No past history of rash and bleeding. Denied the history of tuberculosis. Menstrual normal, no similar history in close relatives. Physical examination: blood pressure 110/80, body temperature 36.5. Pulse 80. Breathing 20, normal development. Good nutrition, no skin rashes and bleeding spots. Superficial lymph nodes not touched, scleral dark purple congestion, ocular tenderness, normal vision. tonsil