女性,24岁,高热、关节痛半月,浮肿lO天,血压150/90mmI-Hg。7天来精神淡漠,言语极少,3天来尿量200400m1/d,尿蛋白(+++),尿:...

作者: rantiku 人气: - 评论: 0
问题 女性,24岁,高热、关节痛半月,浮肿lO天,血压150/90mmI-Hg。7天来精神淡漠,言语极少,3天来尿量200400m1/d,尿蛋白(+++),尿:RBC1520/HP。Hb80g/LC30.42g/L,Alb23g/L,Scr400pmgl/dl。该患者初步的诊断是
选项 A.精神病 B.急进性肾炎 C.急性肾炎 D.急性肾衰 E.系统性红斑狼疮
答案 E
解析 :老年女性,根据病历介绍及化验检查,最可能诊断为系统性红班狼疮。

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