1 病历摘要患者男,28岁。因反复尿检异常12年,突发抽搐、意识不清、尿少2天入院。缘于12年前颜面及双下肢浮肿。无长期发热和口腔溃疡史,无皮疹和关节疼痛,蛋白尿+++,无肉眼血尿。当地医院按“肾炎”治疗后病情好转,但此后症状反复。4年前全身浮肿和尿量减少,尿蛋白+++,予“强的松”、利尿等治疗,病情改善,1年后停用强的松。2天前出现反复呃逆,再次出现抽搐、口吐白沫伴意识不清、尿少,急诊入院。 1 medical record Summary Male patient, 28 years old. Due to repeated abnormal urinalysis for 12 years, sudden convulsions, confusion, less urine 2 days admission. Due to 12 years ago, face and lower extremity edema. No long-term fever and history of oral ulcers, no rash and joint pain, proteinuria +++, no gross hematuria. Local hospital by “nephritis ” condition improved after treatment, but since then the symptoms repeated. 4 years ago, the whole body edema and decreased urine output, urinary protein +++, to “prednisone ”, diuretic and other treatment, the condition improved, 1 year after the withdrawal of prednisone. 2 days ago, repeated hiccups, convulsions again, spit at the mouth with confusion, oliguria, emergency admission.