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患儿男,11岁。因反复双下肢水肿伴间断性血尿半年入院。体检:双下肢轻度凹陷性水肿,双眼底视神经乳头水肿,左耳中度神经性耳聋。其余无异常。化验:Hb125g/L,尿Pr(++),尿OB(++),尿RBC50个以上/高,尿渗透压900moSm/L,血Cr34μmol/L,血BUN4.6mmol/L。B型超声检查示双肾无异常。根据临床表现及家系调查诊断为遗传性肾炎。住院后经中西医结合治疗病情无明显变化,自动出院。
Children male, 11 years old. Due to repeated lower extremity edema with intermittent hematuria six months admitted. Physical examination: mild depression of both lower extremity edema, binocular optic papilla edema, left middle ear neurological deafness. The rest without exception. Assay: Hb125g / L, urinary Pr (++), urinary OB (++), urine RBC50 or more / high, urine osmolality 900moSm / L, blood Cr34μmol / L, blood BUN4.6mmol / L. B-mode ultrasound showed no abnormalities in both kidneys. According to clinical manifestations and family history of diagnosis of hereditary nephritis. After hospitalization by the combination of Chinese and Western medicine treatment of no significant change in condition, discharged automatically.