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病例介绍患儿男、11岁,因全身浮肿6个月、咳喘20天入院。患儿于6个月前起全身浮肿,尿蛋白+++,诊为“肾病综合征”在当地用强的松治疗,2个月后浮肿减轻,尿蛋白仍++～+++。出院后继用强的松55mg/日,约一个月后自动停药改服中草药,又经一个多月病情加重,血压高达150/130mmHg。20天来并有发热咳喘、不能平卧,来我院。既往体健无家族肾病史。查体:T 37.7℃、P 120次/分、R 30次/分、Bp 150/130mmHg、体重45Kg。发育营养中等,重病容,精神差,呼吸深,不能
Case description Children male, 11 years old, due to systemic edema for 6 months, cough and asthma 20 days admission. Children with systemic edema 6 months ago, urinary protein +++, diagnosed as “nephrotic syndrome” in the local treatment with prednisone, edema relief after 2 months, urine protein is still ++ ~ +++. Discharged after the use of prednisone 55mg / day, about a month after the automatic withdrawal to change the Chinese herbal medicine service, but after more than a month the condition worsened, blood pressure up to 150 / 130mmHg. 20 days and fever cough, can not lie down, to our hospital. Past history of no family history of kidney disease. Examination: T 37.7 ℃, P 120 beats / min, R 30 beats / min, Bp 150 / 130mmHg, weight 45Kg. Development of moderate nutrition, serious illness, poor spirit, deep breathing, can not