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患儿,男,1个月28天。因水肿12天、腹胀、呕吐5天,尿少3天入院。第2胎,足月平产,无产伤窒息史。出生后1个月16天时出现眼睑及颜面水肿,逐日加重,6天后腹胀,呕吐每日10余次,大便干结,继之尿量减少,每日1～2次。入院前阴茎、阴囊水肿。父母非近亲婚配,母孕期健康。其姐有“肝炎”史。家族中无遗传病及肾脏病史。体查:体重7kg,全身明显凹陷性水肿,皮肤无黄染。前囟2.5cm×2.5cm,平软。
Children, male, 28 days a month. Due to edema for 12 days, bloating, vomiting for 5 days, 3 days less urine admission. The second child, term full-term, history of asphyxiation without injury. Eyelid and facial edema occurred daily at 16 days after birth, day by day. After 6 days, abdominal distension and vomiting were more than 10 times a day. Stools were dry-cured, followed by reduction of urine output, 1 to 2 times a day. Pre-admission penis, scrotal edema. Parents non-relatives marriage, mother’s health during pregnancy. Its sister has “hepatitis” history. No family history of genetic disease and kidney disease. Physical examination: weight 7kg, the body was significantly pitting edema, skin yellow dye. Anterior fontanel 2.5cm × 2.5cm, flat soft.