对以水肿和蛋白尿为首发症状的肝豆状核变性1例分析如下。1病历摘要女,10岁。因眼睑、下肢水肿1周余入院。1周前出现眼睑、下肢水肿,有逐日加重趋势,并出现腹胀、尿量减少,时有恶心,无呕吐,无腹痛、腹泻,无尿频、尿急,亦无发热及关节肿痛。 One case of Wilson’s disease with edema and proteinuria as the first symptom was analyzed as follows. 1 medical record summary female, 10 years old. Eyelid, lower extremity edema for more than 1 week admission. 1 week ago eyelid, lower extremity edema, there is a trend of increasing day by day, and bloating, decreased urine output, nausea, vomiting, no abdominal pain, diarrhea, urinary frequency, urgency, no fever and joint swelling and pain.