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紫癜性肾炎呈急进型表现者较少见,病死率较高。现将我院于1986年4月收治的1例,经腹膜透析及四联疗法抢救成功报告如下。病历摘要患儿男,9岁。以浮肿尿少23天,双下肢紫癜3天为主诉入院。忠儿于入院前23天出现尿少,浮肿呈下行性,进展很快至全身浮肿,眼裂细小、腹部逐渐膨隆,尿量每日200～400ml,近3天每日不足100ml,浓茶色,伴恶心、头迷,呕吐1～2次/日。腹部胀满感,曾有黑便1次。起病后第3天曾见眼睑出现少数红色斑点,约2天后消退,近3天双下肢出现大小不等出血点稍凸出于皮肤。当地医院曾用氨基苄青霉素及强地松20mg/次,每日3次口服,输血浆4次,多次用速尿及降血压药物等对症治疗病情无好转,病情危重转入我院。既往健康。查
Purpura nephritis showed a more acute type of performance is rare, higher mortality. Now in our hospital in April 1986 admitted to a case of peritoneal dialysis and quadruple therapy success report is as follows. Summary of medical records Children male, 9 years old. Less edema in urine for 23 days, three days of lower extremity purpura as the main complaint hospitalization. Zhong children appear less urine 23 days before admission, swelling was descending, progress quickly to the whole body edema, small ocular fissures, the abdomen gradually bulging, urine daily 200 ~ 400ml, nearly 3 days less than 100ml daily, strong brown, With nausea, head fans, vomiting 1 to 2 times / day. Fullness of the abdomen, black once had. 3 days after onset had seen a small number of eyelid red spots, about 2 days later subsided, nearly three days the size of the lower extremities appeared slightly bleeding point slightly out of the skin. The local hospital had used ampicillin and prednisone 20mg / times, 3 times daily oral administration, plasma 4 times, repeatedly with furosemide and antihypertensive drugs and other symptomatic treatment of the disease did not improve, critically ill transferred to our hospital. Past health. check