男患,42岁,因眼睑浮肿、乏力1个月,发热伴血尿半月于1986年12月4日入院。查体:T37.8℃,Bp16/9.33kPa(120/70mmHg),贫血貌,颈静脉无怒张。胸骨压痛,心界正常,心率84,心尖部可闻及Ⅱ级收缩期杂音及短暂隆隆样舒张期杂音,肝脾未触及,双下肢轻度凹陷性水肿。实验室检查:Hb40g/L,WBC3.4×10~9/L,N0.64,L0.36,ESR70mm/h,CO_2-CP18mmol/L,BUN13.9mmol/L。血肌酐292μmol/L,血尿酸664μmol/L。肝功能正常。血清蛋白电脉A0.695,α_10.014α_20.095,β0.114,γ0.082.尿蛋白(++),颗粒 Male patient, 42 years old, due to eyelid edema, fatigue for 1 month, fever with hematuria half on December 4, 1986 admission. Physical examination: T37.8 ℃, Bp16 / 9.33kPa (120 / 70mmHg), anemic appearance, jugular vein without tension. Sternal tenderness, normal heart, heart rate 84, apex can be heard and Ⅱ systolic murmur and transient rumbling like diastolic murmur, liver and spleen not touched, mild depression of both lower extremity edema. Laboratory tests: Hb40g / L, WBC3.4 × 10 ~ 9 / L, N0.64, L0.36, ESR70mm / h, CO_2-CP18mmol / L, BUN13.9mmol / L. Serum creatinine 292μmol / L, uric acid 664μmol / L. Liver function is normal. Serum albumin A0.695, α_10.014α_20.095, β0.114, γ0.082 Urine protein (++), particles