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病例介绍患儿,男,9岁,学生,住院号14081。主诉血尿4天,于1979年1月25日入院。9天前因发热头痛不适,在当地就诊给服复方阿斯匹林0.5克,消炎痛25毫克,1日3次,连服2天。第4天发现大量血尿,无尿痛尿频尿急等现象。尿常规检查:肉眼血尿,蛋白++,脓球+++,颗粒管型少许。拟诊为急性肾炎并发感染,给氯、庆大霉素等静滴治疗。但症状不见好转,偶有解尿不畅,下腹胀痛感。第5天尿中出现血块和多量灰白色碎块状粘膜
Case description Children, male, 9 years old, student, hospital number 14081. The main complaint of hematuria for 4 days was admitted to hospital on January 25, 1979. 9 days ago because of fever headache discomfort, in the local clinic to take compound aspirin 0.5 g, indomethacin 25 mg, 3 times a day, and even served 2 days. Found on the 4th day a large number of hematuria, urinary urgency, urinary urgency and other symptoms. Urine routine examination: gross hematuria, protein ++, pus ball +++, a little granular tube. To be diagnosed as acute nephritis complicated by infection, to chlorine, gentamicin and other intravenous treatment. But the symptoms did not improve, occasionally poor urination, abdominal pain, abdominal pain. On day 5, there were blood clots in the urine and a large amount of gray and white crusty mucosa