论文部分内容阅读
病历摘要:迟××,女,8岁,住院号40039。因反复浮肿、少尿2年,发热3天于1977年2月28日住院。患儿从1975年1月因浮肿、尿少、尿蛋白++—+++,诊断为肾病综合征,先后曾应用强的松、硫唑嘌呤、环磷酰胺、氮芥、麻疹疫苗等综合治疗,但病情反复,浮肿时轻时重。入院前三天开始发烧,体温持续39℃上下,伴咳嗽、胃纳差、恶心、呕吐、尿少而再次住院,否认有肝炎接触史。体检:全身重度浮肿,左肺有中小湿罗音。肝脾肋下未触及,腹无移动性浊音。实验室检查:尿常规,蛋白++,白细胞2～4/高。血沉107mm/1小时,血总蛋白3.9g%,白蛋白1.6g%,球蛋白2.3g%,血胆固醇446mg%,尿素氮24.1 mg%。血钾3.6mEq/L,血钠140mEq/L,血氯100mEq/L,CO_2结合
Medical record summary: Late × ×, female, 8 years old, hospital number 40039. Due to repeated edema, oliguria 2 years, fever 3 days in February 28, 1977 hospitalization. Children from January 1975 due to edema, oliguria, urinary protein ++ - +++, diagnosed with nephrotic syndrome, has been the application of prednisone, azathioprine, cyclophosphamide, nitrogen mustard, measles vaccine, etc. Treatment, but the disease repeatedly, when the edema when light weight. Fever began three days before admission, body temperature continued up and down 39 ℃, with cough, poor appetite, nausea, vomiting, oliguria and re-hospitalized, denied a history of exposure to hepatitis. Physical examination: severe edema of the whole body, small and medium-sized wet left lungs. Liver and spleen ribs untouched, abdominal no dullness. Laboratory tests: urine routine, protein ++, leukocytes 2 ~ 4 / high. ESR 107mm / 1 hour, blood total protein 3.9g%, albumin 1.6g%, globulin 2.3g%, blood cholesterol 446mg%, urea nitrogen 24.1 mg%. Blood potassium 3.6mEq / L, serum sodium 140mEq / L, blood chlorine 100mEq / L, CO 2 binding