论文部分内容阅读
患者,女,59岁,肾功能不全3年,起病后精神、食欲差,睡眠差,尿量减少,体力下降。自服复方α-酮酸(开同)、药用炭片控制病情。因精神差,双下肢水肿2周,于2010年5月20日以慢性肾功能不全收入院。患者于1978年患肾盂肾炎,有类风湿关节炎病史10余年,否认食物、药物过敏史。体检:T 36.5℃,P 73次/min,R 18次/min,BP 160/100 mmHg。神清,慢性肾病面容,双肾区叩击痛(+),双下肢胫前凹陷性水肿。尿蛋白(+++);血红蛋白99 g·L~(-1);BUN
Patients, female, 59 years old, 3 years of renal insufficiency, after the onset of the spirit, poor appetite, poor sleep, decreased urine output, physical decline. Self-service compound alpha-ketoacid (open the same), medicinal charcoal to control the disease. Due to poor mental, lower extremity edema for 2 weeks, on May 20, 2010 to chronic renal insufficiency hospital. Patients suffering from pyelonephritis in 1978, a history of rheumatoid arthritis more than 10 years, denied food, drug allergy history. Physical examination: T 36.5 ° C, P 73 breaths / min, R 18 breaths / min, BP 160/100 mmHg. Shen Qing, chronic kidney disease face, perineal area percussion pain (+), both lower extremity anterior tibial indentation edema. Urine protein (+++); Hemoglobin 99 g · L -1; BUN