论文部分内容阅读
何杰金氏病以肾病综合症为首发表现者临床罕见。现报告1例如下。患者男性,10岁,因浮肿、少尿1月半,曾诊为肾炎治疗无效,于1989年3月27日入院。1周前发现右颈部肿块,切检病理诊断为何杰金氏病。查体:体温37℃,血压86/60mmHg(11.5/8kPa),全身浮肿,右锁骨上可触及两枚杏仁大淋巴结,质中,活动。心肺正常。腹软,肝脾未触及。胸片示上纵隔阴影增大。B超及心电图正常。实验室检查;血常规及血小板正常,肝肾功能正常。胆固醇286mg％。总蛋白3.6g％,白蛋白2g,球蛋白1.6
Hodgkin’s disease with nephrotic syndrome as the first manifestation of clinical rare. One report is as follows. Male patient, 10 years old, due to edema, oliguria in January and a half, has been diagnosed as nephritis treatment is invalid, was admitted on March 27, 1989. A week ago found the right neck mass, cut the pathological diagnosis of Hodgkin’s disease. Examination: body temperature 37 ℃, blood pressure 86 / 60mmHg (11.5 / 8kPa), body edema, the right clavicle can reach two large almond lymph nodes, quality, activity. Cardiopulmonary normal. Abdomen soft, liver and spleen not touched. Chest radiograph showed increased mediastinal shadow. B ultrasound and normal ECG. Laboratory tests; blood and normal platelets, liver and kidney function was normal. Cholesterol 286 mg%. Total protein 3.6g%, albumin 2g, globulin 1.6