共查询到20条相似文献,搜索用时 46 毫秒
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病例女,60岁,因"血糖升高18年,发现肌酐升高3月"入院。18年前于我院诊断为"2型糖尿病",长期使用胰岛素控制血糖,血糖控制良好。入院前3月,感冒后出现颜面及双下肢水肿,查血肌酐260.0μmol/L。入院前1周再次复查血肌酐320.1μmol/L,尿蛋白(+++)。近期小便量无明显变化。既往有银屑病史20年,反复治疗无效。高血压病史8年,最高达 相似文献
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对强的松敏感的C1q肾病1例报告并文献复习 总被引:2,自引:0,他引:2
C1q肾病是临床上比较少见的一种原发性肾小球疾病,大多数对口服激素治疗不敏感。笔者近遇1例C1q肾病,且对强的松高度敏感,报道如下。 病 例 患者,男性,33岁,农民,住院号161878,因“间断颜面、双下肢水肿5年,加重半月”于2001年1月4日第二次入院。患者于5年前因“颜面、下肢水肿”入住本院,入院时化验尿蛋白+++,24 h尿蛋白定量3.24 g,诊为“原发性肾病综合征”。同时B超、CT提示“双肾多发错构瘤”。予强的松60mg/d口服,一周后尿蛋白即转阴,水肿消退,好转出院。出院后病情稳定,… 相似文献
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我们遇到1例Ⅳ+Ⅴ型狼疮肾炎(LN)并发强直性脊柱炎(AS)患者,报告如下.
患者,女,33岁,1年前无诱因出现双下肢水肿,四肢小关节肿痛及腰痛,伴晨僵,服"欣克洛"后,好转,仍反复水肿.10 d前水肿加重,门诊查尿蛋白3+,Scr 197.3μmol/L,于2010年4月18日入院.查体:BP 150/100 mm Hg,面部蝶形红斑,眼睑水肿,Schober试验阳性,Patrick 试验双侧阳性,双下肢水肿.辅助检查:尿蛋白3+.血常规WBC 2.11×109/L,Hb 82 g/L,Plt 85×109/L.BUN 27.01mmol/L,Scr 227.4 μmol/L,血风湿因子(RF)9.75 U/ml,ASO 53.1 U/L,抗SSA、抗SSB、抗Sm、抗RNP、抗ds-DNA 均阳性,ANA 1∶640,HIA-B27阳性.24 h尿蛋白5.59 g(2200 ml). 相似文献
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患者,男,27岁,因双下肢水肿、Scr升高2年,呕血、胸骨后疼痛3 h入院.患者2年前因双下肢水肿,Scr升高,在我院肾内科诊断为慢性肾功能不全.入院前3 h进食梨后,呕吐暗红色血液约30 ml,内含灰白色管状组织,约1.5 cm×10 cm,伴胸骨后疼痛及烧灼感.查体:BP 190/120 mm Hg,慢性病容,贫血貌,颜面及双眼睑水肿,睑结膜苍白,心率103次/min,上腹压痛,双下肢水肿. 相似文献
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我科收治1例银屑病相关IgA肾病并发肾脏淀粉样变患者,报告如下.患者男,48岁,因水肿3个月,加重1周于2010年9月入院.患银屑病20余年,未系统治疗.查体:颜面水肿,舌体稍大,躯干、四肢薄膜现象及Auspitz征阳性,腹部膨隆,移动性浊音阳性,双下肢水肿.实验室检查:尿蛋白3+,尿蛋白量8.81 g/d,尿κ轻链103.2 mg/d,λ轻链492 mg/d,血总蛋白28.6 g/L,白蛋白10.7 g/L,球蛋白17.9 g/L,BUN 7.59 mmol/L,Scr 87.5 μmol/L,三酰甘油2.1 mmol/L,胆固醇9.78 mmol/L. 相似文献
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Koichi Akiyama Yoshinori Takakura Yasuharu Tomita Kazuya Sugimoto Yasuhito Tanaka Susumu Tamai 《Journal of orthopaedic science》1999,4(4):299-303
The purpose of this study was to clarify the neural anatomy of the sinus tarsi. The nerve endings of the synovium in the
sinus tarsi were examined. The synovial membrane in the sinus tarsi was excised in 20 patients with sinus tarsi syndrome (20
feet) and in 2 feet from subjects without symptoms (controls). In 15 of the 20 patients and the two controls, the excised
synovial membrane was studied histologically with staining by a modified Gairns gold chloride method. Numerous neural elements
were observed in the sinus tarsi in all examined synovium. There were abundant free nerve endings and three types of mechanoreceptors:
Pacinian corpuscles, Golgi corpuscles, and Ruffini corpuscles. Macroscopic observation and histological examination, using
hematoxylin and eosin, in the other 5 patients revealed chronic synovitis in the sinus tarsi. Our findings suggest that the
sinus tarsi is not only a talocalcaneal joint space but a source of nociceptive and proprioceptive information on the movement
of the foot and ankle. Sinus tarsi syndrome may result from disorders of nociception and proprioception in the foot.
Received for publication on Dec. 14, 1998; accepted on Feb. 23, 1999 相似文献
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A patient who sustained frontal sinus fracture and who earlier had undergone an osteoplastic fat obliteration procedure is described. The literature is reviewed and recommendations are made for management of this and other cases of frontal sinus fractures with posterior table involvement. 相似文献
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Calculocutaneous sinus 总被引:1,自引:0,他引:1
Extrusion of a urinary calculus is a rare occurrence, and to date only 7 cases have been previously documented. Three patients are described, all of whom had a persistent discharging calculocutaneous sinus as a manifestation of the extruded calculus. The 3 cases had similar features of presentation with a perinephric abscess, a staghorn calculus within a nonfunctioning kidney, and a classic radiologic feature of a portion of calculus clearly distinct from the main bulk of the stone. 相似文献
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Background. This article reviews 12 cases of isolated sphenoid sinus disease: chronic inflammatory sinusitis (7), mucoceles (2), aspergillus lesions (2), and isolated polyp (1). Methods. Criteria for diagnosis were based on clinical symptoms, nasal endoscopic evaluation, and computed tomography (CT). Magnetic resonance imaging was used only in cases of bone erosion and when patients presented with vision problems. All patients were treated by functional endoscopic sphenoidotomy. Any postoperative complications were noted. Conclusion. The reported good results, on the basis of regression of functional symptoms and with nasal endoscopic and CT evaluation, suggest that intranasal sphenoidotomy under endoscopic control is a safe and effective method of treatment of nonmalignant isolated sphenoid disease. The mean follow-up is 26 months. © 1994 John Wiley & Sons, Inc. 相似文献