１病历摘要 患者男，２５岁，因尿少。浮肿１个月，发热、咳嗽。胸痛、咯血４日于１９９７年１０月 ７日入院。患者于１个月前出现尿少，面部及双下肢浮肿，尿量每日 ７００ ｍＬ至 ８００ｍＬ，无血尿，当地医院诊为“急性肾炎”，用青霉素、泼尼松等治疗，４日前发热（体温３ 1 patient summary Male patient, 25 years old, due to oliguria. Edema 1 month, fever, cough. Chest pain, hemoptysis 4th was admitted on October 7, 1997. Patients with oliguria and swollen face and lower extremities one month earlier showed a urine output of 700 mL to 800 mL daily without hematuria. The local hospital was diagnosed as “acute nephritis” with penicillin and prednisone, and had fever on the 4th Body temperature 3