男,11岁。因发热、头痛、尿少4天,体检发现胸部广泛皮肤脱屑,拟诊为猩红热并发急性肾炎入院。给予利尿、能量合剂等治疗,病情不见好转,反而出现烦躁、神志朦胧、尿闭、阵发性抽搐,由他院转入我院。查体:T 36.4℃,P 80次/分,BP 130/90mmHg,体体重35公斤。呈浅昏迷状态,全身明显水肿,双肺可闻及湿罗音,心界稍扩大,心律齐。腹部 Male, 11 years old. Due to fever, headache, oliguria for 4 days, physical examination revealed a wide range of skin desquamation, diagnosed as scarlet fever complicated with acute nephritis hospitalization. Give diuretic, energy mixture and other treatment, the condition did not improve, but appear irritable, ambiguous, urinary tract closed, paroxysmal convulsions, transferred from his hospital to our hospital. Examination: T 36.4 ℃, P 80 beats / min, BP 130 / 90mmHg, body weight 35 kg. Was shallow comatose state, the body was significantly edema, lungs can be heard and wet rales, heart slightly expanded heart rhythm Qi. abdomen