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患者男,39岁,干部。因浮肿半个月入院。既往体健。 患者于入院前半个月无任何诱因晨起发现眼睑浮肿,并出现尿少,每日尿量约300～500ml。浮肿逐渐涎及全身。食欲不佳,腰酸乏力。入院时查体:T37C,P38次/分.BP20/11kPa。神清,重度浮肿貌。咽部无充血。心肺正常。腹软,肝脾未及。叩无移动性浊者。双侧肾区轻度叩击痛。双下肢呈Ⅲ°指凹性浮肿。实验室检查:尿蛋白卅,WBC7.7X10~9/L。N70％,1.24％,Hb120g/L。胆固醇330mg％,甘油三脂214mg％,24小时尿蛋白定量9.7g。总蛋白4.6/％白蛋白2.1g％,球蛋白2.5g％.BuN17.3mg％,血肌酐1。2mg％。血钾4.4mmol/L,血钠143mmol/L,血氯化物99mmol/L。入院诊断:肾病综合征。
Male patient, 39 years old, cadre. Half a month due to edema admitted to hospital. Past physical health. Patients in the first half of admission without any incentives early morning eyelid edema found, and urine less, daily urine output of about 300 ~ 500ml. Edema gradually saliva and body. Poor appetite, backache, fatigue. Admission examination: T37C, P38 times / min. BP20 / 11kPa. God clear, severe edema appearance. Throat without congestion. Cardiopulmonary normal. Abdomen soft, liver and spleen not yet. Knock no mobility turbid. Bilateral renal area mild percussion pain. Ⅲ ° lower limbs were concave edema. Laboratory tests: urine protein 卅, WBC7.7X10 ~ 9 / L. N 70%, 1.24%, Hb 120 g / L. Cholesterol 330mg%, triglyceride 214mg%, 24 hours urine protein quantitative 9.7g. Total protein 4.6 /% albumin 2.1g%, globulin 2.5g% .BuN 17.3mg%, serum creatinine 1.2mg%. Potassium 4.4mmol / L, sodium 143mmol / L, blood chloride 99mmol / L. Admission diagnosis: nephrotic syndrome.