肺出血-肾炎综合征临床缓解1例报告

• 作 者: 张锦春 许志
• 机 构: 北京铁路总医院内科肾组,北京铁路总医院呼吸组
• 出 处: 北京医学
• 发表日期: 1988年03期
• 关键词: 透明管型 进行性贫血 临床缓解 火焰状出血 支气管扩张 浓茶色 关节痛 抗炎药 尿蛋白 尿色

患者,男性,21岁,电工。1984年12月无明显诱因咳嗽,咳痰带鲜血,少则1～2口/日,多则30ml/日。在当地医院胸透:左下肺纹理增多,诊断为“支气管扩张”。曾用止血、镇咳及抗炎药治疗,能坚持工作。1985年元月3日咳血加重,并发现尿色加深,未重视。同年2月25日发烧,关节痛,头晕,视物不清,尿呈浓茶色。在当地医院住院,查尿蛋白++～++++,RBC满视野,有颗粒及透明管型。进行性贫血。眼底呈火焰状出血。经对症治疗,症状日渐加重,

Patient, male, 21 years old, electrician. December 1984 no obvious incentive cough, sputum with blood, ranging from 1 to 2 / day, as many as 30ml / day. Chest throat at local hospital: increased left lower lung texture, diagnosed as “bronchiectasis.” Have used hemostasis, antitussive and anti-inflammatory drugs, can keep working. January 3, 1985 Hemoptysis increased, and found dark urine, did not pay attention. February 25 the same year fever, joint pain, dizziness, blurred vision, urine was dark brown. In the local hospital, check urine protein ++ ~ ++++, RBC full field of vision, with particles and transparent tube. Progressive anemia. Fundus was flaming bleeding. After symptomatic treatment, the symptoms are getting worse,