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例1 男、21岁,诊断原发性肾病综合征工型,给以糖皮质激素为主的综合治疗,2天后尿量增加,浮肿减轻,治疗至第6天尿量骤减,全身浮肿加重,双侧腰部及中下腹部疼痛,经对症处理无效,继而出现头晕,发热、右侧胸部刺痛伴咳嗽、气短、咯血。T38℃、BP 80/50mmHg不能平卧,双下肺呼吸音低、双肾区有明显的叩压痛。血纤维蛋白元11.5g/L,BPC400×10~9/L,尿RBC15～30个/HP,尿蛋白增加,尿FDP64r/ml,BuN15.5mmol/L。胸片示右侧肺梗塞,双侧胸腔积液。B超左右肾分别为11×5.1cm及10.4×5.1cm(入院时分别是8.9×4.0cm及8.8×4.8cm),临床诊断为肾静脉血栓形成合并肺梗塞。治疗在糖皮质激素
Example 1 Male, 21 years old, diagnosis of primary nephrotic syndrome type, to glucocorticoid-based comprehensive treatment, 2 days after the increase in urine output, edema to reduce the treatment to the first 6 days of urine output decreased, edema aggravated , Bilateral lower back and middle and lower abdomen pain, the symptomatic treatment ineffective, followed by dizziness, fever, right chest stab with cough, shortness of breath, hemoptysis. T38 ℃, BP 80 / 50mmHg can not be supine, double lower lung breath sounds low, there is a clear area of the kidney area knocking tenderness. Fibrin protein 11.5g / L, BPC400 × 10 ~ 9 / L, urine RBC15 ~ 30 / HP, increased urinary protein, urinary FDP64r / ml, BuN15.5mmol / L. Chest radiograph showed right pulmonary infarction, bilateral pleural effusion. The B-left and right kidney were 11 × 5.1 cm and 10.4 × 5.1 cm respectively (8.9 × 4.0 cm and 8.8 × 4.8 cm, respectively). The clinical diagnosis was renal vein thrombosis with pulmonary infarction. Treatment in glucocorticoids