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男,43岁。反复全身水肿21个月,曾两次在县医院住院诊断为肾病综合征Ⅱ型,用强的松及中药治疗好转出院。4个月前又出现水肿,尿蛋白(?),自行服用强的松50mg/d,2个月后改为40mg/d。尿蛋白减至(艹)。一个月前出现多饮、多尿、多食。半月前视物不清,10天前因饮食不当腹泻一日,服药止泻后出现食欲不振、恶心、说话不清、乏力、手脚麻木感就诊入院。体检:T、R、P、BP正常,柯兴氏面容,口无特殊气味,心肺(-),腹平软,肝肋下0.5cm、质中、无压痛,脾未及。双下肢无水肿。检验:Hb135g/L、RBC4.7×10~(12)/L、WBC12×10~9/L、L21％、M2％、N77％。BUN13.72mmol/L、Cr
Male, 43 years old. Repeated systemic edema for 21 months, twice hospitalized in the county hospital diagnosed as nephrotic syndrome type Ⅱ, with prednisone and Chinese medicine to improve the discharge. 4 months ago, there edema, urine protein (?), Taking prednisone 50mg / d, 2 months later changed to 40mg / d. Urine protein reduced to (艹). A month ago, drink more, more urine, more food. Half a month before the material is not clear, 10 days ago due to improper diet diarrhea on the 1st, after taking antidiarrheal loss of appetite, nausea, vomiting, weakness, numbness of hands and feet hospital treatment. Physical examination: T, R, P, BP normal, Cushing’s face, mouth no special smell, heart and lung (-), abdominal soft, liver ribs 0.5cm, quality, no tenderness, spleen and not. No lower extremity edema. Test: Hb135g / L, RBC4.7 × 10-12 / L, WBC12 × 10-9 / L, L21%, M2%, N77%. BUN 13.72 mmol / L, Cr