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患儿,女,11月,住院号14864。因水肿、尿少3天入院。入院前17天发热,拟诊急性扁桃体炎,曾用抗生素治疗。既往无肾脏病史。检查:全身中度水肿,体重9kg,血压15.9/6.7kPa(120/58mmHg),心肺未见异常,肝肋下2指,剑突下4指,脾肋下1指。尿蛋白(+++),红细胞(++),白细胞(+),颗粒管型(++)。血尿素氮23.5mmol/L(65mg),肌酐336μmol/L(3.8mg%),二氧化碳结合力12.6mmol/L(28容积%),胆固醇8.29mmol/L(320mg%)。血清白蛋白25g/L,球蛋白16.5g/L。蛋白电泳:白蛋白39.7%,α_110.5%,α_225.3%,β14%,γ10.5%。血钠125mmol/L,氯化物90mmol/L,血钾7.9mmol/L(31mg%)。尿量130ml/日。入院诊断:急性肾炎(肾病型),急性肾功能衰竭
Children, women, November, hospital number 14864. Due to edema, less urine 3 days admission. 17 days before admission, fever, diagnosis of acute tonsillitis, antibiotics have been used. No previous history of kidney disease. Examination: moderate edema, body weight 9kg, blood pressure 15.9 / 6.7kPa (120 / 58mmHg), no abnormal heart and lung, hepatic ribs under 2 fingers, xiphoid 4 fingers, spleen ribs 1 finger. Urine protein (+++), erythrocytes (++), white blood cells (+), granular tube (++). Blood urea nitrogen was 23.5 mmol / L (65 mg), creatinine 336 μmol / L (3.8 mg%), carbon dioxide binding capacity 12.6 mmol / L (28 vol%) and cholesterol 8.29 mmol / L (320 mg%). Serum albumin 25g / L, globulin 16.5g / L. Protein electrophoresis: albumin 39.7%, α_110.5%, α_225.3%, β14%, γ10.5%. Serum sodium 125mmol / L, chloride 90mmol / L, potassium potassium 7.9mmol / L (31mg%). Urine volume 130ml / day. Admission diagnosis: acute nephritis (nephropathy), acute renal failure