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病历摘要王××,男,20岁,钳工。因右侧腰痛、尿检异常5个月于1981年12月12日入院。5月前患者曾有一次高热伴咽痛,以庆大霉素及“退热片”治疗,三天后热退,症状消失,但出现右侧腰痛,眼睑轻度水肿,尿检蛋白“+”。尿量及外观无明显异常,无尿频尿急。曾口服潘生丁和左旋咪唑,但蛋白尿持续存在。以往健康,直系家属中无肾脏病史。体检:体温36.7℃,脉搏76次,血压126/78。发育良好,无皮疹,睑结膜苍白。心界正常,心律齐,
Medical records Wang × ×, male, 20 years old, fitter. Due to the right side of the back pain, urinalysis abnormal 5 months in December 12, 1981 admission. May had a fever with sore throat before gentamicin and “fever tablets” treatment, three days after the heat back, the symptoms disappear, but there was right lower back pain, eyelid edema, urine protein “+.” No significant abnormal urine output and appearance, no urinary urgency. Dipyridamole and levamisole have been given, but proteinuria persists. In the past, no immediate family history of renal disease. Physical examination: body temperature 36.7 ℃, pulse 76 times, blood pressure 126/78. Well-developed, no rash, pale conjunctiva. Normal heart, heart rate Qi,