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患儿韦××,女,9岁。1986年12月21日上午2时15分入院。入院前一周发现先眼、面后全身性浮肿,尿黄少。两天后到某医院门诊检查,尿常规:蛋白(±)WBC0～2;血WBC21.2×10~9/L,N0.79,L0.18,M0.03;肝功能正常,HBsAg阴性。诊断:急性肾炎?予口服麦迪霉素及双氢克尿塞。服药后患儿浮肿有所减轻,继续上学。19日晚在家觉头痛、头昏、视力模糊、呕吐频数。至20日晚10时,突然两眼上翻、口吐白沫、四肢抽动,历时约1～2分钟自止,如此反复抽搐四、五次。即送某医院急诊,血压18/12kPa,予肌注利血平1/2支后转我院。患儿自19日晚至入院一直未进食,无尿。病前无感冒发热史.既往史及家族史无特殊。体检:T37.7℃,血压17.3/14.7kPa,神志尚清,烦躁不安,欠合作,发育营养一般。左膝有一皮损结
Wei × × children, women, 9 years old. December 21, 1986 at 2:15 am Admission. One week before admission found that the first eye, face after systemic edema, less urine yellow. Two days later to a hospital for examination, urine routine: protein (±) WBC0 ~ 2; blood WBC21.2 × 10 ~ 9 / L, N0.79, L0.18, M0.03; liver function is normal, HBsAg negative. Diagnosis: Acute nephritis? To oral midecamycin and hydrochlorothiazide. Children edema relief after taking medicine, continue to school. 19 home night headache, dizziness, blurred vision, vomiting frequency. To 20 o’clock on the 20th night, suddenly turned upside down, foaming at the mouth, limbs twitching, which lasted about 1 to 2 minutes since the stop, so repeatedly twitch four or five times. That is to send a hospital emergency, blood pressure 18 / 12kPa, to the intramuscular injection of reserpine 1-2 after the transfer to our hospital. Children from the evening of 19 to admission have not eaten, no urine. No fever before the fever history. Past history and family history no special. Physical examination: T37.7 ℃, blood pressure 17.3 / 14.7kPa, consciousness Shangqing, irritability, owed cooperation, the development of nutrition in general. There is a lesion on the left knee