论文部分内容阅读
患者,男,46岁。因右上腹剧烈绞痛一小时,向后背部放射,浓茶样尿,于1987年6月20日入院。1968年10月患“甲亢”做甲状腺次全切除术。1974年4月做甲状腺放射性~(131)(?)治疗。近三年颜面下肢浮肿间断出现,尿蛋白(-～+++),伴乏力、怕冷、食少、腹胀,记忆力差,体重由65kg 增至80kg。诊断为慢性肾炎。体检:T35.1℃,肥胖体型,强迫体位,颜面浮肿,巩膜黄染。颈部有手术疤痕。心率62次/分6右上腹压痛、反跳痛、肌紧张,墨菲氏征+,双下肢轻度凹陷性水肿。B 超:胆囊结石,脂肪肝。肝功能:II20u,SB2.0mg%,VDB 直接反应强阳性,TTT10u,SGPT452u(金氏)。尿:
Patient, male, 46 years old. Because of the right upper quadrant severe angina for an hour, back to the back of radiation, urine-like tea, in June 20, 1987 admission. 1968 October suffering from “hyperthyroidism” to do subtotal thyroidectomy. 1974 April thyroid radioactive 131 (?) Treatment. In recent three years, the appearance of lower extremity edema intermittently, urinary protein (- ~ +++), with fatigue, cold, food less, bloating, poor memory, body weight increased from 65kg to 80kg. Diagnosis of chronic nephritis. Physical examination: T35.1 ℃, obese body type, forced position, facial edema, scleral yellow dye. There are surgical scars on the neck. Heart rate 62 beats / min 6 right upper quadrant tenderness, rebound tenderness, muscle tension, Murphy’s sign +, mild depression of both lower extremity edema. B-super: gallstones, fatty liver. Liver function: II20u, SB2.0mg%, VDB strong positive direct reaction, TTT10u, SGPT452u (Kim). Pee: