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1病例报告例1男,1岁4个月。主因浮肿10 d,于2012年9月23日入院。患儿于入院前10 d出现眼睑浮肿,逐渐波及全身,伴有尿量减少,具体尿量不详,尿色如常。无发热、皮疹等。既往体健,否认肾毒性药物使用史,否认近期疫苗接种史。患儿系抱养儿,家族史不详。入院时查体:血压85/55mmHg(1 mmHg=0.133 kPa),全身指凹性水肿,心音有力,律齐,双肺呼吸音粗,腹膨隆,移动性浊音阳性。实验室检查:
1 case report 1 male, 1 year and 4 months. The main edema for 10 days, on September 23, 2012 admission. Children eyelid edema occurred 10 d before admission, and gradually spread to the body, accompanied by decreased urine output, specific amount of urine unknown, urine as usual. No fever, rash and so on. Past physical health, denied the history of the use of nephrotoxic drugs, denied the recent history of vaccination. Child-bearing children, family history is unknown. Examination at admission: blood pressure 85 / 55mmHg (1 mmHg = 0.133 kPa), the body refers to concave edema, strong heart sounds, law Qi, lung breath sounds thick, abdominal bulging, shifting dullness positive. Laboratory examination: