患儿男,8个月。因无尿14天入院。16天前因发热肌注庆大霉素2万u/次,2次/日,共用2天。停药次日始无尿、浮肿,渐加重。用利尿剂无效。查体:体温35.7℃,血压140/110mmHg。下肢浮肿,呼吸深大,背部闻及小水泡音,肝右肋下6cm,腹水征阳性,腱反射弱。血红蛋白120g/L。尿常规:蛋白(+),红细胞2～4/HP,白细胞0～3/HP,管型(-),血钾6.4mmol/L、血钠、氯低,BUN32.88mmol/L Children male, 8 months. 14 days due to anuria admission. 16 days ago due to fever gentamicin injection 20,000 / time, 2 times / day, sharing 2 days. The next day after stopping no urine, edema, gradually heavier. Diuretic invalid. Physical examination: body temperature 35.7 ℃, blood pressure 140 / 110mmHg. Lower extremity edema, deep breathing, back smell and small blisters sound, right hepatic ribs 6cm, positive ascites sign, weak tendon reflexes. Hemoglobin 120g / L. Urinary routine: protein (+), erythrocytes 2 ~ 4 / HP, white blood cells 0 ~ 3 / HP, tubular (-), serum potassium 6.4mmol / L, serum sodium, chlorine low, BUN32.88mmol / L