1临床资料例1：男性，43岁，发热，多关声痛半年，无贫血，尿化验正常，诊断为类风湿关节炎，激素治疗有效，减量至停药复发。下肢浮肿半月，意识不清3天，急诊入院。入院体格检查：呼吸深大，意识不清，两肺散在痰鸣音，两下肢轻度指凹性浮肿。辅助检查：尿蛋白（＋＋＋），尿 1 Clinical data Example 1: Male, 43 years old, fever, sighs more than six months, no anemia, urine tests were normal, the diagnosis of rheumatoid arthritis, hormone therapy, reduction to withdrawal recurrence. Lower limb swelling half a month, unconsciousness 3 days, emergency admission. Physical examination admission: deep breathing, confusion, lungs scattered sputum sound, two lower extremity refers to the concave edema. Auxiliary examination: urinary protein (+++), urine