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患儿,男,7岁。因浮肿7天,尿少3天于1988年11月24日入院。7天前前额被蜜蜂螫伤多处,当即出现局部红肿疼痛,笠日晨起出现眼睑浮肿并逐日迅速波及下肢阴囊及全身,因浮肿加剧尿少3天入院,平素健康无浮肿及肾炎史,亦无上呼吸道及其它感染史。体检:T37℃,R22次/分,P80次/分,Bp15.42/9.62kPa,急性病容,颜面及全身高度浮肿,前额见多处暗红色斑,中间可见小黑点。心律齐,心音正常,两肺呼吸音正常,腹平软无压痛,未触及肝脾,膀胱区无叩痛,无病理反射及脑膜刺激征。实验室检查:血Hb155g/L,WBC13.7×10~9/L,RBC4.17×10~(12)/L,N0.73,L0.22,E0.03。尿蛋白(++++),红细胞少许,颗粒管型(++)。血生化;CO_2CP20.54mmol/L,BUN6.1 75mmol/L,Cr150.28μmol/L,K~+5.40mmol/L,Na~+136mmol/L,Ca~(2+)
Children, male, 7 years old. 7 days due to edema, less urine 3 days in November 24, 1988 admission. 7 days ago, the forehead was many bees and bruises immediately appear local swelling and pain, Li Nissin eyelid swollen day and quickly spread to the lower extremity scrotum and the body due to edema increased urine less 3 days admitted to the hospital, usually healthy and no history of edema and nephritis, No history of upper respiratory tract and other infections. Physical examination: T37 ℃, R22 beats / min, P80 beats / min, Bp15.42 / 9.62kPa, acute disease, facial and systemic edema, forehead to see a number of dark red spots, the middle visible black spots. Qi heart, normal heart sounds, normal breath sounds of both lungs, abdominal tenderness without tenderness, did not touch the liver and spleen, no percussion pain in the bladder area, no pathological reflex and meningeal irritation. Laboratory tests: blood Hb155g / L, WBC13.7 × 10 ~ 9 / L, RBC4.17 × 10-12 / L, N0.73, L0.22, E0.03. Urinary protein (++++), red blood cells a little, granular tube (++). Blood biochemistry; CO_2CP20.54mmol / L, BUN6.175mmol / L, Cr150.28μmol / L, K ~ +5.4mmol / L,