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肾病综合征伴乳糜腹水较少见,现报告两例: 例1 男患,11岁,因周身浮肿,少尿23天入院。既往健康。查体:T36℃,P86次/分,BP14/10kPa。颜面下肢重度浮肿,淋巴结不大,巩膜无黄染。肩胛角下3Cm处叩浊,双下肺呼吸音减弱。心脏如常。全腹无触痛,有腹水征,肝脏未及。尿蛋白+++,RBC0～1/HP,24小时尿蛋白定量4.2g。Hb120g/L,WBC8.4×10~(-9)/L,P72％,L28％,ESR4mm/h,肝功正常,A/G≈2.3/20,Ch8.2mmol/L。血蛋白电泳:A130.7％,α_12.4％,
Nephrotic syndrome with chylous ascites is rare, are reported in two cases: a male patient, 11 years old, due to whole body edema, oliguria 23 days admission. Past health. Physical examination: T36 ℃, P86 times / min, BP14 / 10kPa. Severe face lower extremity edema, lymph nodes, sclera no yellow dye. Ocular scapular 3Cm Department knock turbid, double lower lung breath sounds weakened. Heart as usual. Full abdomen no tenderness, ascites sign, liver has not. Urinary protein +++, RBC0 ~ 1 / HP, 24 hours urinary protein quantitative 4.2g. Hb120g / L, WBC8.4 × 10-9 / L, P72%, L28%, ESR4mm / h, normal liver function, A / G≈2 / 20, Ch8.2mmol / L. Blood protein electrophoresis: A130.7%, α_12.4%,