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近年来不少报道使用大剂量肌苷静滴治疗顽固性蛋白尿疗效显著。现报告一例使用大剂量肌苷静滴诱发急性尿酸性肾病如下:患者男性,48岁。因浮肿,高血压伴大量蛋白尿3个月,曾在当地县医院诊断为肾病综合征Ⅱ型,给予强地松片口服近12周无效,入我院。体查:36℃,BP18.7/13.3kPa,P88次/分,无明显浮肿,轻度满月面,颈、背部多量痤疮。心肺无异见。腹脂丰隆,肝脾不大,腹水征(-),双肾
In recent years, many reports using large doses of inosine intravenous infusion of refractory proteinuria significant effect. A case report of a case of acute urinary nephropathy induced by intravenous administration of high-dose inosine is reported below: Male, 48 years old. Due to edema, hypertension with a large amount of proteinuria for 3 months, was diagnosed in the local county hospital nephrotic syndrome type Ⅱ, giving strong pine tablets oral nearly 12 weeks invalid, into our hospital. Physical examination: 36 ℃, BP18.7 / 13.3kPa, P88 beats / min, no obvious edema, mild full moon, neck, back large amount of acne. See no difference between heart and lung. Abdominal fat Hong Leong, hepatosplenism, signs of ascites (-), kidneys