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患者男,39岁,回族。因右髋及腰部疼痛10余年,眼睑及下肢浮肿2年,腹胀、尿少3个月于1990年5月3日来院。于10余年前诱因不明而右髋部、腰部疼痛,反复发作,伴晨僵,常有低热,有时高热,以后逐渐加重。4～5年来腰、胸、颈部及右髋部僵直,活动受限。2年前出现眼睑及下肢浮肿,尿蛋白(+～+++),镜检偶见红、白细胞。3个月来腹胀、尿少、纳差。曾在外院诊断为强直性脊柱炎(AS)。家族史(-)。体检:T36.4℃,P86次/分,BP18.5/12kPa。颜面浮肿,面色灰暗,心肺(-)。腹膨隆,肝脾未触及,移动性浊音(+)。脊柱强直,生理弯曲消失,有纵向
Male patient, 39 years old, Hui nationality. Due to right hip and lower back pain for more than 10 years, eyelid and lower extremity edema for 2 years, abdominal distension, oliguria for 3 months in May 3, 1990 to the hospital. More than 10 years ago, the causes of unknown unclear right hip, waist pain, recurrent, with morning stiffness, often low fever, sometimes fever, then gradually increased. 4 to 5 years waist, chest, neck and right hip stiffness, limited mobility. 2 years ago eyelid and lower extremity edema, urinary protein (+ ~ +++), microscopic examination occasionally red, white blood cells. 3 months to bloating, oliguria, anorexia. Had an outside hospital diagnosed with ankylosing spondylitis (AS). Family history (-). Physical examination: T36.4 ℃, P86 times / min, BP18.5 / 12kPa. Face swelling, dark complexion, cardiopulmonary (-). Abdominal bulging, liver and spleen not touched, shifting dullness (+). Ankylosis of the spine, physiological curvature disappears, longitudinal