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1病历资料患者男,54岁,主因“乏力、恶心、双下肢水肿伴血肌酐升高4月”于2007-11-20入院。入院前7个月无明显诱因出现乏力、恶心、呕吐,吐出为胃内容物,伴双下肢轻度水肿,呈指凹性,自觉尿量较前减少,每日约1000mL。无头晕、头痛,无胸闷、气短,无腹痛、腹胀。在当地医院检查发现,肌酐500μmol/L。曾用中成药保守治疗(具体药物不
1 patient data Male patient, 54 years old, mainly due to “fatigue, nausea, lower extremity edema with serum creatinine increased in April ” in 2007-11-20 admission. 7 months before admission no obvious incentive to appear fatigue, nausea, vomiting, spit out the contents of the stomach, accompanied by mild lower extremity edema, was concave, conscious urine volume decreased compared with the previous, about 1000mL daily. No dizziness, headache, no chest tightness, shortness of breath, no abdominal pain, bloating. In the local hospital examination found that creatinine 500μmol / L. Have used conservative treatment of proprietary Chinese medicines (specific drugs are not