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患儿丁×,男,2岁,2周前因“感冒”出现咽痛,发热,口服复方新诺明片(成人用)1片,每日两次,服药两天后出现颜面,眼睑及双下肢浮肿,面色苍白,尿少,24h尿约300~400ml,浓茶色.当地某职工医院诊断为“急性肾功能衰竭”,治疗无效而转入本院.入院时查,体温38.1℃,脉搏150次/分,呼吸30次/分,血压23/16kPa体重8kg.神志清,呻吟,反应差,重度贫血貌,皮肤粘膜苍白,轻度黄染,颜面口周苍白,颈动脉搏动明显,双肺呼吸音粗,心音低钝,心律齐,心率150次/分,肝肋下4.0cm,剑突下2.0cmm质Ⅱ°硬,脾未触及,肠鸣音存,巴氏症、克氏症(一),双下肢呈凹隐性水肿.化脸:白细胞6.6×10~9/L,血红蛋白40g/L,中性0.59,淋巴0.41,尿蛋白(＋
Children × ×, male, 2 years old, 2 weeks ago due to “cold” sore throat, fever, oral compound cotrimoxazole tablets (adult use) 1 tablet twice daily, after taking two days appear face, eyelid and double Lower extremity edema, pale, oliguria, 24h urine about 300 ~ 400ml, strong brown .Letter a local hospital diagnosed as “acute renal failure”, the treatment was invalid and transferred to our hospital.After admission, body temperature 38.1 ℃, pulse 150 Times / min, breathing 30 beats / min, blood pressure 23 / 16kPa weight 8kg .Shiqing, moan, poor response, severe anemia appearance, pale skin mucosa, mild yellow dye, pale mouth and mouth, carotid pulsation obvious, lung Breath sounds coarse, low heart sound blunt, heart rate Qi, heart rate 150 beats / min, hepatic ribs under 4.0cm, 2.0cmm under the xiphoid quality Ⅱ ° hard, spleen not touched, bowel sounds, pasteuria, A), the lower extremity showed concave recessive edema. Face: white blood cells 6.6 × 10 ~ 9 / L, hemoglobin 40g / L, neutral 0.59, lymph 0.41, urinary protein (+