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一、临床资料 病例:女性,25岁,教师,因咽痛8天,伴双眼睑浮肿1天,而于1998年3月20日收入院治疗。患者8天前始感全身不适,咽痛、鼻塞、流涕,门诊给于口服感冒丸、病毒灵、螺旋霉素,病情缓解,但一天前出现双眼睑浮肿,尿色加深,无尿急、尿频、尿痛,无双下肢浮肿,24小时尿量正常。患者既往无特殊病史。人院查体:T36.9℃,P84次/分,R18次/分。Bp18.5/11.0 kPa。咽部充血,双侧扁桃体不大,全身皮肤粘膜无黄染及出血点,浅表淋巴结无肿大,双肺呼吸音清,心率84次/分,节律规则,腹部
First, the clinical data Case: Female, 25 years old, teacher, sore throat for 8 days, with double eyelid edema 1 day, and in March 20, 1998 income hospital treatment. 8 days before the patient was feeling unwell, sore throat, nasal congestion, runny nose, outpatient service to oral cold pills, vinorelbine, spiramycin, the disease eased, but a day ago double eyelid edema, dark urine, no urgency, Urinary frequency, dysuria, unparalleled lower extremity edema, normal urine output 24 hours. No previous history of patients with special medical history. People’s hospital examination: T36.9 ℃, P84 times / min, R18 times / min. Bp 18.5 / 11.0 kPa. Pharyngeal congestion, bilateral tonsils, systemic skin and mucous membrane without yellow dye and bleeding, superficial lymph nodes without swelling, lung breath sounds clear, heart rate 84 beats / min, rhythm rules, abdomen