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病例摘要例1:王某,男,9岁。因四肢无力,多饮多尿20余天。每日饮水约5000ml,每日尿量2000～3000ml。1978年曾患肾病综合症已愈。体检:矮胖,身高109Cm(正常120Cm),体重18.75kg,面不浮肿,心肺(-),肝助下1.0cm,脾未及。下肢无明显浮肿,肌张力正常,右侧膝反射减弱。化验:血红蛋白75g/L/,红细胞2.6×10~(12)/L,白细胞20.2×10~9/L,中性66％,淋巴28％,酸性4％,单核2％。尿常规:蛋白(++),红细胞0～1,白细胞0～1,比重1.018,pH7～7.5,24小时尿蛋白定量2.15g,选择性蛋白尿为低度选择性,本周氏蛋白定性阴性。二氧化碳结合力14.3744mmol/L,钠125mmol/L,钾3.08mm0/L,氯化物110mmo/L,
Case summary 1: Wang, male, 9 years old. Due to weakness, drink more urine more than 20 days. Daily drinking water about 5000ml, daily urine output 2000 ~ 3000ml. Has suffered from nephrotic syndrome in 1978. Physical examination: Chun Chun, height 109Cm (normal 120Cm), weight 18.75kg, surface edema, cardiopulmonary (-), liver assist 1.0cm, spleen and not. Lower extremity no obvious edema, muscle tone normal, weakened right knee reflex. Assay: hemoglobin 75g / L /, erythrocyte 2.6 × 10-12 / L, white blood cells 20.2 × 10 ~ 9 / L, neutral 66%, lymphatic 28%, acid 4%, mononuclear 2%. Urine routine: protein (++), red blood cells 0 to 1, white blood cells 0 to 1, the proportion of 1.018, pH7 ~ 7.5,24 hours urine protein quantitation 2.15g, selective proteinuria is low selectivity, this week’s protein qualitative negative . Carbon dioxide binding 14.3744mmol / L, sodium 125mmol / L, potassium 3.08mm0 / L, chloride 110mmo / L,