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肺出血肾炎综合征较少见,多发于16～30岁,男多于女。最近我院收治1例,特报告如下。临床资料患者,男,23岁,农民,因受寒于1992年元月出现咳嗽,泡沫痰,有时痰中带血,无畏寒发热,当地按支气管炎治疗无效。2月27日突然大咯血,鲜红色,量约100～200ml,无胸痛。以后每日2～4次,每次量约50～100ml。胸片示两下肺广泛斑片状阴影。5月16日出现颜面浮肿。实验室检查:血常规Hb6g％,尿常规蛋白(++)、颗粒管型(-),诊断为急性肾炎,经相应治疗无效无5月20日收入我院。既往身体健康。否认急性肾炎及慢性咳嗽史。体格检查:T37℃,
Pulmonary hemorrhage nephritis syndrome is rare, mostly in 16 to 30 years old, more men than women. Recently admitted to our hospital in 1 case, special report is as follows. Clinical data Patients, male, 23 years old, farmer, because of the cold In January 1992, cough, foam sputum, sometimes bloody sputum, no chills and fever, local treatment by bronchitis ineffective. February 27 sudden massive hemoptysis, bright red, the amount of about 100 ~ 200ml, no chest pain. After 2 to 4 times a day, each about 50 ~ 100ml. The chest radiograph shows a wide patchy shadow of the lungs. May 16 appear facial edema. Laboratory tests: blood Hb6g%, urinary protein (++), granular tube (-), diagnosed as acute nephritis, the corresponding treatment is invalid without May 20 income in our hospital. In the past, good health. Denied the history of acute nephritis and chronic cough. Physical examination: T37 ℃,