论文部分内容阅读
【病例】2例男性患儿,双胞胎,10岁,主因分别发现镜下血尿6个月、8个月,于1999年7月12日入院。既往无肾炎病史,家族中另有4人化验有镜下血尿,为患儿父亲、叔叔及两同胞兄弟。查体:2例血压不高,颜面部无水肿,视力、听力正常,心、肺、腹未见异常,双下肢无水肿,双肾区叩击痛均阴性,生理反射存在,病理反射未引起。实验室检查:尿蛋白（一）、隐血（3+）、红细胞满视野;24小时尿蛋白定量 0.0018g,胆固醇3.34mmol/L,甘油三酯0.62 mmol/L,血常规,肝、肾功能.血电解质、免疫球蛋白及补体皆正常;血尿渗透压及血尿β2-微球蛋白正常;X线胸透、心电图、肝脾肾B超及肾图均正常;肾活检报告:肾穿组织见肾小球10个,1个小球系膜细胞轻度增生,其他
[Case] 2 male patients, twins, 10 years old, mainly due to microscopic hematuria were found 6 months, 8 months, on July 12, 1999 admission. No previous history of nephritis, another family of 4 people with microscopic examination of hematuria, for the children’s father, uncle and two siblings. Examination: 2 cases of low blood pressure, facial edema, visual acuity, normal hearing, heart, lung, abdomen no abnormalities, no edema of both lower extremities, perineal area percussion pain were negative, there is physiological reflection, pathological reflex did not cause . Laboratory tests: urine protein (1), occult blood (3+), red blood cells over the field of vision; 24 hours urinary protein 0.0018g, cholesterol 3.34mmol / L, triglyceride 0.62mmol / L, blood, liver and kidney function. Blood electrolytes, immunoglobulins and complement are normal; hematuria and hematuria osmotic pressure β2-microglobulin normal; X-ray chest, electrocardiogram, liver and spleen and kidney B ultrasound and renal mapping were normal; renal biopsy report: 10 balls, 1 small mesangial cells mild hyperplasia, others